California
Department of Consumer Affairs
CISNEROS PRUDENCIO BANUELOS
Pharmacy - Designated Representative (Exemptees)
License number
19712
Date granted
04/08/2008
Date expires
04/01/2016
Class
Pharmacy - Designated Representative (Exemptees)
Status
Clear
Address
27680 MENTRY AVE VALENCIA CA 91355
californialicensing.org
ID 11673484
LAST UPDATED 2026-04-13 20:28:04 UTC
LAST UPDATED 2026-04-13 20:28:04 UTC
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