California
Department of Consumer Affairs
BLACK KATHLEEN MARIE
Registered Pharmacist
License number
43642
Date granted
08/01/1990
Date expires
12/31/2015
Class
Registered Pharmacist
Status
Clear
Address
13831 RATTLESNAKE RD GRASS VALLEY CA 95945
californialicensing.org
ID 12141970
LAST UPDATED 2024-05-30 16:38:58 UTC
LAST UPDATED 2024-05-30 16:38:58 UTC
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