License holder summary

ERICKSON MARK A is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for ERICKSON MARK A is 9879 CHEYENNE STREET VENTURA CA 93004. This licensed professional license is not current. The license was granted 06/09/2004 and expired on 06/01/2008.

California

Department of Consumer Affairs

ERICKSON MARK A
Pharmacy - Designated Representative (Exemptees)
License number
17499
Date granted
06/09/2004
Date expires
06/01/2008
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
9879 CHEYENNE STREET VENTURA CA 93004
californialicensing.org
ID 11673733
LAST UPDATED 2026-03-09 09:22:32 UTC

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