License holder summary

BAUTISTA JUAN MANUEL is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for BAUTISTA JUAN MANUEL is 3378 N SAN FERNANDO RD 101 LOS ANGELES CA 90065. This licensed professional license is not current. The license was granted 03/12/2010 and expired on 03/01/2013.

California

Department of Consumer Affairs

BAUTISTA JUAN MANUEL
Pharmacy - Designated Representative (Exemptees)
License number
20480
Date granted
03/12/2010
Date expires
03/01/2013
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
3378 N SAN FERNANDO RD 101 LOS ANGELES CA 90065
californialicensing.org
ID 11668850
LAST UPDATED 2024-04-29 04:12:05 UTC

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