License holder summary

JOHNSON MARLENE A is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for JOHNSON MARLENE A is 2150 S LEWIS ST #202 ANAHEIM CA 92802. This licensed professional license is not current. The license was granted 08/27/2004 and expired on 08/01/2006.

California

Department of Consumer Affairs

JOHNSON MARLENE A
Pharmacy - Designated Representative (Exemptees)
License number
17620
Date granted
08/27/2004
Date expires
08/01/2006
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
2150 S LEWIS ST #202 ANAHEIM CA 92802
californialicensing.org
ID 11665241
LAST UPDATED 2024-03-06 06:27:30 UTC

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