License holder summary

HANSEN JOANN RAE is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for HANSEN JOANN RAE is 4119 BROAD ST STE 100 SAN LUIS OBISPO CA 93401. This licensed professional license is not current. The license was granted 02/29/2008 and expired on 02/01/2009.

California

Department of Consumer Affairs

HANSEN JOANN RAE
Pharmacy - Designated Representative (Exemptees)
License number
19530
Date granted
02/29/2008
Date expires
02/01/2009
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
4119 BROAD ST STE 100 SAN LUIS OBISPO CA 93401
californialicensing.org
ID 11672060
LAST UPDATED 2024-05-07 23:10:33 UTC

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