License holder summary

FORTHUN THOMAS ALLEN is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for FORTHUN THOMAS ALLEN is 702-345 JOHNSTONVILLE RD SUSANVILLE CA 96130-8788. This licensed professional license is not current. The license was granted 04/21/2009 and expired on 04/01/2014.

California

Department of Consumer Affairs

FORTHUN THOMAS ALLEN
Pharmacy - Designated Representative (Exemptees)
License number
19905
Date granted
04/21/2009
Date expires
04/01/2014
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
702-345 JOHNSTONVILLE RD SUSANVILLE CA 96130-8788
californialicensing.org
ID 11672849
LAST UPDATED 2024-04-22 18:05:33 UTC

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