License holder summary

LARA ELISEO is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for LARA ELISEO is 5760 W 96TH ST LOS ANGELES CA 90045. This licensed professional license is not current. The license was granted 01/31/2001 and expired on 01/01/2007.

California

Department of Consumer Affairs

LARA ELISEO
Pharmacy - Designated Representative (Exemptees)
License number
15965
Date granted
01/31/2001
Date expires
01/01/2007
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
5760 W 96TH ST LOS ANGELES CA 90045
californialicensing.org
ID 11668919
LAST UPDATED 2026-05-30 01:35:36 UTC

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