License holder summary

JACKSON ALYCE MAE is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for JACKSON ALYCE MAE is 3980 EARLSTONE ST ONTARIO CA 91761. This licensed professional license is current. The license was granted 08/05/2013 and expired on 08/01/2016.

California

Department of Consumer Affairs

JACKSON ALYCE MAE
Pharmacy - Designated Representative (Exemptees)
License number
22269
Date granted
08/05/2013
Date expires
08/01/2016
Class
Pharmacy - Designated Representative (Exemptees)
Status
Clear
Address
3980 EARLSTONE ST ONTARIO CA 91761
californialicensing.org
ID 11669877
LAST UPDATED 2024-03-13 16:09:20 UTC

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