License holder summary

CROOK TATIA LARIE is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for CROOK TATIA LARIE is 4551 E PHILADELPHIA ST ONTARIO CA 91761. This licensed professional license is not current. The license was granted 09/29/2009 and expired on 09/01/2015.

California

Department of Consumer Affairs

CROOK TATIA LARIE
Pharmacy - Designated Representative (Exemptees)
License number
20382
Date granted
09/29/2009
Date expires
09/01/2015
Class
Pharmacy - Designated Representative (Exemptees)
Status
Delinquent
Address
4551 E PHILADELPHIA ST ONTARIO CA 91761
californialicensing.org
ID 11669829
LAST UPDATED 2024-04-15 14:06:22 UTC

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