California
Department of Consumer Affairs
DIVIRD JASON RICHARD
Pharmacy - Designated Representative (Exemptees)
License number
23191
Date granted
06/10/2015
Date expires
06/01/2016
Class
Pharmacy - Designated Representative (Exemptees)
Status
Clear
Address
3705 SHARPSBURG DR. MODESTO CA 95357
californialicensing.org
ID 31334142
LAST UPDATED 2024-04-23 20:38:33 UTC
LAST UPDATED 2024-04-23 20:38:33 UTC
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