California
Department of Consumer Affairs
LACY LAURA
Pharmacy - Designated Representative (Exemptees)
License number
11322
Date granted
05/26/1992
Date expires
05/01/1999
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
15970 BERNARDO CENTER DR SAN DIEGO CA 92127
californialicensing.org
ID 11671519
LAST UPDATED 2024-03-17 06:33:38 UTC
LAST UPDATED 2024-03-17 06:33:38 UTC
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