License holder summary

BUSTAMANTE CONNIE is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for BUSTAMANTE CONNIE is 2525 MC GAW AVE IRVINE CA 92614. This licensed professional license is current. The license was granted 06/01/2003 and expired on 06/01/2016.

California

Department of Consumer Affairs

BUSTAMANTE CONNIE
Pharmacy - Designated Representative (Exemptees)
License number
17012
Date granted
06/01/2003
Date expires
06/01/2016
Class
Pharmacy - Designated Representative (Exemptees)
Status
Clear
Address
2525 MC GAW AVE IRVINE CA 92614
californialicensing.org
ID 11668174
LAST UPDATED 2024-03-11 20:22:10 UTC

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