California
Department of Consumer Affairs
BLAIR LANCE R
Pharmacy - Designated Representative (Exemptees)
License number
16427
Date granted
11/30/2001
Date expires
11/01/2006
Class
Pharmacy - Designated Representative (Exemptees)
Status
Revoked
Address
5834 CAPE HORN DR AGOURA HILLS CA 91301
californialicensing.org
ID 11665136
LAST UPDATED 2024-03-12 15:46:58 UTC
LAST UPDATED 2024-03-12 15:46:58 UTC
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