California
Department of Consumer Affairs
HOLSTROM JEFFREY L
Pharmacy - Designated Representative (Exemptees)
License number
13212
Date granted
05/31/1996
Date expires
05/01/1999
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
1505 DUPONT AVENUE SUITE G ONTARIO CA 91761
californialicensing.org
ID 11669872
LAST UPDATED 2024-04-18 23:52:32 UTC
LAST UPDATED 2024-04-18 23:52:32 UTC
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