License holder summary

FANCIULLO RICK is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for FANCIULLO RICK is 20400 MANIANI AVENUE CUPERTINO CA 95014. This licensed professional license is not current. The license was granted 12/15/1995 and expired on 12/01/2003.

California

Department of Consumer Affairs

FANCIULLO RICK
Pharmacy - Designated Representative (Exemptees)
License number
12967
Date granted
12/15/1995
Date expires
12/01/2003
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
20400 MANIANI AVENUE CUPERTINO CA 95014
californialicensing.org
ID 11666768
LAST UPDATED 2024-03-29 15:31:44 UTC

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