License holder summary

HIGGINS DERRELL M is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for HIGGINS DERRELL M is 29003 N AVENUE SHERMAN VALENCIA CA 91355. This licensed professional license is not current. The license was granted 07/20/2004 and expired on 07/01/2006.

California

Department of Consumer Affairs

HIGGINS DERRELL M
Pharmacy - Designated Representative (Exemptees)
License number
17564
Date granted
07/20/2004
Date expires
07/01/2006
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
29003 N AVENUE SHERMAN VALENCIA CA 91355
californialicensing.org
ID 11673519
LAST UPDATED 2026-05-04 08:31:38 UTC

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