License holder summary

CROCKER JIM I is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for CROCKER JIM I is 780 S NOGALES STREET CITY OF INDUSTRY CA 91748. This licensed professional license is not current. The license was granted 04/04/1996 and expired on 04/04/2000.

California

Department of Consumer Affairs

CROCKER JIM I
Pharmacy - Designated Representative (Exemptees)
License number
13384
Date granted
04/04/1996
Date expires
04/04/2000
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
780 S NOGALES STREET CITY OF INDUSTRY CA 91748
californialicensing.org
ID 11666318
LAST UPDATED 2024-03-27 01:09:41 UTC

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