California
Department of Consumer Affairs
GIVEN DEAM WINDATE
Pharmacy - Designated Representative (Exemptees)
License number
20692
Date granted
04/13/2010
Date expires
04/01/2013
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
9410 CARROLL PARK DR SAN DIEGO CA 92121
californialicensing.org
ID 11671423
LAST UPDATED 2026-04-16 05:37:20 UTC
LAST UPDATED 2026-04-16 05:37:20 UTC
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