California
Department of Consumer Affairs
FAZIO JACK JAMES
Pharmacy - Designated Representative (Exemptees)
License number
11705
Date granted
04/02/1993
Date expires
04/01/2005
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
5508 VINELAND AVE NORTH HOLLYWOOD CA 91601
californialicensing.org
ID 11669500
LAST UPDATED 2024-03-24 04:02:19 UTC
LAST UPDATED 2024-03-24 04:02:19 UTC
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