California
Department of Consumer Affairs
ETTLEMAN EDWIN W
Pharmacy - Designated Representative (Exemptees)
License number
16851
Date granted
01/31/2003
Date expires
01/01/2005
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
2476 VERNA CT SAN LEANDRO CA 94577
californialicensing.org
ID 11672010
LAST UPDATED 2026-06-29 10:44:43 UTC
LAST UPDATED 2026-06-29 10:44:43 UTC
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