California
Department of Consumer Affairs
COSTA STEPHEN M
Pharmacy - Designated Representative (Exemptees)
License number
21840
Date granted
11/14/2012
Date expires
11/01/2016
Class
Pharmacy - Designated Representative (Exemptees)
Status
Clear
Address
2545 N ONTARIO STREET BURBANK CA 91504
californialicensing.org
ID 19869637
LAST UPDATED 2024-02-27 09:35:45 UTC
LAST UPDATED 2024-02-27 09:35:45 UTC
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