License holder summary

BLAYLOCK THOMAS RAYMOND is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for BLAYLOCK THOMAS RAYMOND is 17211 VALLEY VIEW AVE CERRITOS CA 90703. This licensed professional license is current. The license was granted 03/04/1999 and expired on 03/01/2016.

California

Department of Consumer Affairs

BLAYLOCK THOMAS RAYMOND
Pharmacy - Designated Representative (Exemptees)
License number
14834
Date granted
03/04/1999
Date expires
03/01/2016
Class
Pharmacy - Designated Representative (Exemptees)
Status
Clear
Address
17211 VALLEY VIEW AVE CERRITOS CA 90703
californialicensing.org
ID 11666108
LAST UPDATED 2024-03-22 13:29:12 UTC

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