License holder summary

FIELDS WAYNE is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for FIELDS WAYNE is 19901 NORDOFF STREET NORTHRIDGE CA 91306. This licensed professional license is not current. The license was granted 12/23/1997 and expired on 12/01/2000.

California

Department of Consumer Affairs

FIELDS WAYNE
Pharmacy - Designated Representative (Exemptees)
License number
14103
Date granted
12/23/1997
Date expires
12/01/2000
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
19901 NORDOFF STREET NORTHRIDGE CA 91306
californialicensing.org
ID 11669545
LAST UPDATED 2024-04-22 11:51:36 UTC

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