License holder summary

KISZCZAK ERIK is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for KISZCZAK ERIK is 2291 NORTHPARK STREET THOUSAND OAKS CA 91362. This licensed professional license is not current. The license was granted 10/05/2004 and expired on 10/01/2006.

California

Department of Consumer Affairs

KISZCZAK ERIK
Pharmacy - Designated Representative (Exemptees)
License number
17666
Date granted
10/05/2004
Date expires
10/01/2006
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
2291 NORTHPARK STREET THOUSAND OAKS CA 91362
californialicensing.org
ID 11673007
LAST UPDATED 2024-03-16 21:27:53 UTC

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