License holder summary

KAISER FOUNDATION HOSP PHY 180 is a Pharmacies licensed to practice in California. The address on file for KAISER FOUNDATION HOSP PHY 180 is 16655 FOOTHILL BLVD FONTANA CA 92335. This licensed professional license is not current. The license was granted 09/04/1990 and expired on 11/01/1996.

California

Department of Consumer Affairs

KAISER FOUNDATION HOSP PHY 180
Pharmacies
License number
36525
Date granted
09/04/1990
Date expires
11/01/1996
Class
Pharmacies
Status
Canceled
Address
16655 FOOTHILL BLVD FONTANA CA 92335
californialicensing.org
ID 11689077
LAST UPDATED 2024-04-13 11:41:03 UTC

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