License holder summary

FORNAROTTO LISA is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for FORNAROTTO LISA is 8330 PHYLLIS PL APT 109 SAN DIEGO CA 92123. This licensed professional license is current. The license was granted 08/16/2011 and expired on 08/01/2016.

California

Department of Consumer Affairs

FORNAROTTO LISA
Pharmacy - Designated Representative (Exemptees)
License number
21371
Date granted
08/16/2011
Date expires
08/01/2016
Class
Pharmacy - Designated Representative (Exemptees)
Status
Clear
Address
8330 PHYLLIS PL APT 109 SAN DIEGO CA 92123
californialicensing.org
ID 11671399
LAST UPDATED 2024-03-24 06:59:58 UTC

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