California
Department of Consumer Affairs
DOUGLAS ANTOINETTE DENICE
Pharmacy - Designated Representative (Exemptees)
License number
21287
Date granted
07/18/2011
Date expires
07/01/2015
Class
Pharmacy - Designated Representative (Exemptees)
Status
Delinquent
Address
1129 N MCDOWELL BLVD PETALUMA CA 94954
californialicensing.org
ID 11670201
LAST UPDATED 2024-03-15 11:21:25 UTC
LAST UPDATED 2024-03-15 11:21:25 UTC
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