License holder summary

BRAVO FREDERICK is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for BRAVO FREDERICK is 3490 OLD SAN JOSE RD SOQUEL CA 95073. This licensed professional license is not current. The license was granted 06/23/1994 and expired on 06/01/2012.

California

Department of Consumer Affairs

BRAVO FREDERICK
Pharmacy - Designated Representative (Exemptees)
License number
12264
Date granted
06/23/1994
Date expires
06/01/2012
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
3490 OLD SAN JOSE RD SOQUEL CA 95073
californialicensing.org
ID 11672625
LAST UPDATED 2024-03-20 06:44:15 UTC

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