California
Department of Consumer Affairs
DALIVA IRENEO D
Pharmacy - Designated Representative (Exemptees)
License number
10374
Date granted
02/23/1990
Date expires
08/01/2000
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
15524 SOUTH BROADWAY GARDENA CA 90248
californialicensing.org
ID 11667679
LAST UPDATED 2026-03-31 07:29:56 UTC
LAST UPDATED 2026-03-31 07:29:56 UTC
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