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 2026-04-17 04:08:29 UTC
LAST UPDATED 2026-04-17 04:08:29 UTC
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