California
Department of Consumer Affairs
ELLIS STACI D
Pharmacy - Designated Representative (Exemptees)
License number
18077
Date granted
05/02/2005
Date expires
05/01/2006
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
18000 DEVONSHIRE ST NORTHRIDGE CA 91325
californialicensing.org
ID 11669542
LAST UPDATED 2024-02-07 06:37:38 UTC
LAST UPDATED 2024-02-07 06:37:38 UTC
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