License holder summary

CHAVEZ WALTER O is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for CHAVEZ WALTER O is 5525 DUNCAN RD PHELAN CA 92371. This licensed professional license is not current. The license was granted 05/23/2002 and expired on 05/01/2003.

California

Department of Consumer Affairs

CHAVEZ WALTER O
Pharmacy - Designated Representative (Exemptees)
License number
16614
Date granted
05/23/2002
Date expires
05/01/2003
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
5525 DUNCAN RD PHELAN CA 92371
californialicensing.org
ID 11670217
LAST UPDATED 2024-03-19 10:44:18 UTC

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