License holder summary

KELLY DEBORAH ANNE is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for KELLY DEBORAH ANNE is 472 PARK PL DR PETALUMA CA 94954. This licensed professional license is not current. The license was granted 12/13/2001 and expired on 12/01/2008.

California

Department of Consumer Affairs

KELLY DEBORAH ANNE
Pharmacy - Designated Representative (Exemptees)
License number
16444
Date granted
12/13/2001
Date expires
12/01/2008
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
472 PARK PL DR PETALUMA CA 94954
californialicensing.org
ID 11670204
LAST UPDATED 2024-04-19 01:23:00 UTC

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