License holder summary

CLARK AMY R is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for CLARK AMY R is 1401 W FREMONT ST STOCKTON CA 95203. This licensed professional license is not current. The license was granted 12/16/2002 and expired on 12/01/2004.

California

Department of Consumer Affairs

CLARK AMY R
Pharmacy - Designated Representative (Exemptees)
License number
16808
Date granted
12/16/2002
Date expires
12/01/2004
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
1401 W FREMONT ST STOCKTON CA 95203
californialicensing.org
ID 19872263
LAST UPDATED 2024-02-16 06:58:19 UTC

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