License holder summary

BURTIS ALFRED is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for BURTIS ALFRED is 4100 BANGS AVENUE MODESTO CA 95356. This licensed professional license is not current. The license was granted 01/22/1996 and expired on 01/01/1999.

California

Department of Consumer Affairs

BURTIS ALFRED
Pharmacy - Designated Representative (Exemptees)
License number
13027
Date granted
01/22/1996
Date expires
01/01/1999
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
4100 BANGS AVENUE MODESTO CA 95356
californialicensing.org
ID 11669185
LAST UPDATED 2024-02-12 23:15:30 UTC

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