California
Department of Consumer Affairs
JACOBSON MICHELLE
Pharmacy - Designated Representative (Exemptees)
License number
15394
Date granted
02/11/2000
Date expires
02/01/2001
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
8759 LION ST RANCHO CUCAMONGA CA 91730
californialicensing.org
ID 11670511
LAST UPDATED 2026-05-27 15:45:20 UTC
LAST UPDATED 2026-05-27 15:45:20 UTC
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