California
Department of Consumer Affairs
DAVILA KEITH ALAN
Pharmacy - Designated Representative (Exemptees)
License number
19904
Date granted
11/19/2008
Date expires
11/01/2011
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
3775 SEAPORT BLVD WEST SACRAMENTO CA 95691
californialicensing.org
ID 11674034
LAST UPDATED 2024-02-18 05:15:44 UTC
LAST UPDATED 2024-02-18 05:15:44 UTC
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