California
Department of Consumer Affairs
FONSECA DAREL ANTHONY
Pharmacy - Designated Representative (Exemptees)
License number
20505
Date granted
03/12/2010
Date expires
03/01/2013
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
4680 PELL DR B SACRAMENTO CA 95838
californialicensing.org
ID 11670966
LAST UPDATED 2024-04-08 16:41:43 UTC
LAST UPDATED 2024-04-08 16:41:43 UTC
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