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 2026-06-29 15:07:55 UTC
LAST UPDATED 2026-06-29 15:07:55 UTC
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