License holder summary

BRACK ANNE M is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for BRACK ANNE M is 52145 ACENIDA RUBIO LA QUINTA CA 92253. This licensed professional license is not current. The license was granted 11/18/2004 and expired on 11/01/2012.

California

Department of Consumer Affairs

BRACK ANNE M
Pharmacy - Designated Representative (Exemptees)
License number
17721
Date granted
11/18/2004
Date expires
11/01/2012
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
52145 ACENIDA RUBIO LA QUINTA CA 92253
californialicensing.org
ID 11668529
LAST UPDATED 2026-03-19 07:20:10 UTC

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