California
Department of Consumer Affairs
DOMMER TERRI LYNN
Pharmacy - Designated Representative (Exemptees)
License number
14918
Date granted
04/06/1999
Date expires
04/01/2001
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
4100 BANGS AVENUE MODESTO CA 95356
californialicensing.org
ID 11669205
LAST UPDATED 2024-04-17 15:08:29 UTC
LAST UPDATED 2024-04-17 15:08:29 UTC
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