License holder summary

GOMEZ MICHAEL D is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for GOMEZ MICHAEL D is 250 CRESTRIDGE LN FOLSOM CA 95630. This licensed professional license is not current. The license was granted 01/06/2003 and expired on 01/01/2006.

California

Department of Consumer Affairs

GOMEZ MICHAEL D
Pharmacy - Designated Representative (Exemptees)
License number
16818
Date granted
01/06/2003
Date expires
01/01/2006
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
250 CRESTRIDGE LN FOLSOM CA 95630
californialicensing.org
ID 11667316
LAST UPDATED 2024-02-17 00:49:35 UTC

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