California
Department of Consumer Affairs
CHANEY JOE WALLACE JR
Pharmacy - Designated Representative (Exemptees)
License number
18857
Date granted
10/23/2006
Date expires
10/01/2007
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
1240 GLUCKSTADT RD MADISON MS 39110
californialicensing.org
ID 19870830
LAST UPDATED 2026-06-03 19:35:10 UTC
LAST UPDATED 2026-06-03 19:35:10 UTC
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