License holder summary

BAUTISTA VELEN is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for BAUTISTA VELEN is 10961 DESERT LAWN DR SPACE 490 CALIMESA CA 92320. This licensed professional license is current. The license was granted 11/23/2004 and expired on 11/01/2016.

California

Department of Consumer Affairs

BAUTISTA VELEN
Pharmacy - Designated Representative (Exemptees)
License number
17725
Date granted
11/23/2004
Date expires
11/01/2016
Class
Pharmacy - Designated Representative (Exemptees)
Status
Clear
Address
10961 DESERT LAWN DR SPACE 490 CALIMESA CA 92320
californialicensing.org
ID 11665803
LAST UPDATED 2024-04-30 08:30:43 UTC

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