License holder summary

DUTRA ADAM R is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for DUTRA ADAM R is 2457 GROVE WAY CASTRO VALLEY CA 94546. This licensed professional license is not current. The license was granted 05/31/1996 and expired on 05/01/1998.

California

Department of Consumer Affairs

DUTRA ADAM R
Pharmacy - Designated Representative (Exemptees)
License number
13214
Date granted
05/31/1996
Date expires
05/01/1998
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
2457 GROVE WAY CASTRO VALLEY CA 94546
californialicensing.org
ID 11666077
LAST UPDATED 2024-04-27 16:48:32 UTC

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