License holder summary

DIAZ FERNANDO L is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for DIAZ FERNANDO L is 270 S FLOWER STREET BURBANK CA 92882. This licensed professional license is not current. The license was granted 07/09/2004 and expired on 07/01/2006.

California

Department of Consumer Affairs

DIAZ FERNANDO L
Pharmacy - Designated Representative (Exemptees)
License number
17543
Date granted
07/09/2004
Date expires
07/01/2006
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
270 S FLOWER STREET BURBANK CA 92882
californialicensing.org
ID 11665741
LAST UPDATED 2024-04-14 19:10:47 UTC

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