License holder summary

BEAR BRIAN S is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for BEAR BRIAN S is 125 VILLAGE ROAD MODESTO CA 95354. This licensed professional license is not current. The license was granted 08/16/2004 and expired on 08/01/2006.

California

Department of Consumer Affairs

BEAR BRIAN S
Pharmacy - Designated Representative (Exemptees)
License number
17604
Date granted
08/16/2004
Date expires
08/01/2006
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
125 VILLAGE ROAD MODESTO CA 95354
californialicensing.org
ID 11669182
LAST UPDATED 2026-05-07 15:46:20 UTC

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