License holder summary

BOURGAULT SHANNON JANICE is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for BOURGAULT SHANNON JANICE is PO BOX 151 CRESTON CA 93432. This licensed professional license is not current. The license was granted 01/30/2013 and expired on 01/01/2014.

California

Department of Consumer Affairs

BOURGAULT SHANNON JANICE
Pharmacy - Designated Representative (Exemptees)
License number
22084
Date granted
01/30/2013
Date expires
01/01/2014
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
PO BOX 151 CRESTON CA 93432
californialicensing.org
ID 11666745
LAST UPDATED 2026-06-02 10:39:00 UTC

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