California
Department of Consumer Affairs
ERICKSON III MARTIN ANTON
Pharmacy - Designated Representative (Exemptees)
License number
22445
Date granted
09/19/2013
Date expires
09/01/2014
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
340 CIMARRON RD APPLE VALLEY MN 55124
californialicensing.org
ID 11665320
LAST UPDATED 2026-06-02 14:26:51 UTC
LAST UPDATED 2026-06-02 14:26:51 UTC
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