California
Department of Consumer Affairs
HERMAN-POLAYES PENNY L
Pharmacy - Designated Representative (Exemptees)
License number
17391
Date granted
03/22/2004
Date expires
03/01/2009
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
18431 TECHNOLOGY DRIVE MORGAN HILL CA 95037
californialicensing.org
ID 11669316
LAST UPDATED 2024-04-10 11:23:37 UTC
LAST UPDATED 2024-04-10 11:23:37 UTC
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