License holder summary

BLACKKETTER LISA MARIE is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for BLACKKETTER LISA MARIE is 3462 SMILAX WAY SACRAMENTO CA 95834. This licensed professional license is current. The license was granted 04/30/2015 and expired on 04/01/2016.

California

Department of Consumer Affairs

BLACKKETTER LISA MARIE
Pharmacy - Designated Representative (Exemptees)
License number
22949
Date granted
04/30/2015
Date expires
04/01/2016
Class
Pharmacy - Designated Representative (Exemptees)
Status
Clear
Address
3462 SMILAX WAY SACRAMENTO CA 95834
californialicensing.org
ID 31334196
LAST UPDATED 2024-03-15 01:55:11 UTC

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