License holder summary

DALIVA IRENEO is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for DALIVA IRENEO is 15524 SOUTH BROADWAY GARDENA CA 90248. This licensed professional license is not current. The license was granted 04/23/1993 and expired on 04/01/1999.

California

Department of Consumer Affairs

DALIVA IRENEO
Pharmacy - Designated Representative (Exemptees)
License number
11715
Date granted
04/23/1993
Date expires
04/01/1999
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
15524 SOUTH BROADWAY GARDENA CA 90248
californialicensing.org
ID 11667675
LAST UPDATED 2024-04-16 19:52:08 UTC

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