California
Department of Consumer Affairs
BLACK DOUGLAS C
Registered Pharmacist
License number
23951
Date granted
04/28/1965
Date expires
11/30/2013
Class
Registered Pharmacist
Status
Delinquent
Address
4035 WIGEON COURT SHINGLE SPRINGS CA 95682
californialicensing.org
ID 12166269
LAST UPDATED 2024-03-30 12:44:15 UTC
LAST UPDATED 2024-03-30 12:44:15 UTC
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