License holder summary

KAISER HEALTH PLAN MOB 2 NUEVO PHY 552 is a Pharmacies licensed to practice in California. The address on file for KAISER HEALTH PLAN MOB 2 NUEVO PHY 552 is 3400 DELTA FAIR BLVD ANTIOCH CA 94509. This licensed professional license is not current. The license was granted 03/17/1992 and expired on 11/01/2004.

California

Department of Consumer Affairs

KAISER HEALTH PLAN MOB 2 NUEVO PHY 552
Pharmacies
License number
37605
Date granted
03/17/1992
Date expires
11/01/2004
Class
Pharmacies
Status
Canceled
Address
3400 DELTA FAIR BLVD ANTIOCH CA 94509
californialicensing.org
ID 11683981
LAST UPDATED 2024-03-20 04:20:50 UTC

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