California
Department of Consumer Affairs
HENDERSHOT MICHAEL JOHN
Pharmacy - Designated Representative (Exemptees)
License number
17607
Date granted
08/16/2004
Date expires
08/01/2005
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
11100 E TELEGRAPH ROAD #91 VENTURA CA 93004
californialicensing.org
ID 11673736
LAST UPDATED 2024-05-13 17:01:15 UTC
LAST UPDATED 2024-05-13 17:01:15 UTC
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