License holder summary

BELFORTE HEIDI M is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for BELFORTE HEIDI M is 100 PELICAN WAY SAN RAFAEL CA 94901. This licensed professional license is not current. The license was granted 01/06/1994 and expired on 01/01/1998.

California

Department of Consumer Affairs

BELFORTE HEIDI M
Pharmacy - Designated Representative (Exemptees)
License number
12085
Date granted
01/06/1994
Date expires
01/01/1998
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
100 PELICAN WAY SAN RAFAEL CA 94901
californialicensing.org
ID 11672110
LAST UPDATED 2024-05-20 02:50:20 UTC

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