License holder summary

ELLIS KELLY A is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for ELLIS KELLY A is 5721 E SANTA ANA UNIT E ONTARIO CA 91761. This licensed professional license is not current. The license was granted 05/11/1995 and expired on 05/01/2004.

California

Department of Consumer Affairs

ELLIS KELLY A
Pharmacy - Designated Representative (Exemptees)
License number
12666
Date granted
05/11/1995
Date expires
05/01/2004
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
5721 E SANTA ANA UNIT E ONTARIO CA 91761
californialicensing.org
ID 11669842
LAST UPDATED 2024-05-02 22:08:33 UTC

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