California
Department of Consumer Affairs
BENTON LORENZA
Pharmacy - Designated Representative (Exemptees)
License number
12910
Date granted
11/08/1995
Date expires
11/01/2007
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
3851 ROSECRANS ST SAN DIEGO CA 92110
californialicensing.org
ID 11671300
LAST UPDATED 2024-03-13 10:57:38 UTC
LAST UPDATED 2024-03-13 10:57:38 UTC
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