California
Department of Consumer Affairs
HICKS KENNETH RICHARD
Pharmacy - Designated Representative (Exemptees)
License number
21011
Date granted
01/07/2011
Date expires
01/01/2012
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
8332 COMMONWEALTH AVE BUENA PARK CA 90621
californialicensing.org
ID 11665709
LAST UPDATED 2026-05-06 10:50:34 UTC
LAST UPDATED 2026-05-06 10:50:34 UTC
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