License holder summary

CHAN VISSAVONG VICTOR is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for CHAN VISSAVONG VICTOR is 1461 DOOLITTLE DR SAN LEANDRO CA 94577. This licensed professional license is not current. The license was granted 06/01/2011 and expired on 06/01/2012.

California

Department of Consumer Affairs

CHAN VISSAVONG VICTOR
Pharmacy - Designated Representative (Exemptees)
License number
21245
Date granted
06/01/2011
Date expires
06/01/2012
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
1461 DOOLITTLE DR SAN LEANDRO CA 94577
californialicensing.org
ID 11672001
LAST UPDATED 2026-06-16 15:52:14 UTC

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