License holder summary

GODINEZ LUIS OMAR is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for GODINEZ LUIS OMAR is 6025 TROTH ST MIRA LOMA CA 92752. This licensed professional license is not current. The license was granted 05/13/2009 and expired on 05/01/2011.

California

Department of Consumer Affairs

GODINEZ LUIS OMAR
Pharmacy - Designated Representative (Exemptees)
License number
20173
Date granted
05/13/2009
Date expires
05/01/2011
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
6025 TROTH ST MIRA LOMA CA 92752
californialicensing.org
ID 11669160
LAST UPDATED 2024-03-26 16:35:22 UTC

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