California
Department of Consumer Affairs
LARSEN LANCE M
Pharmacy - Designated Representative (Exemptees)
License number
17337
Date granted
02/17/2004
Date expires
02/01/2005
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
2910 SEVENTH STREET BERKELEY CA 94710
californialicensing.org
ID 11665557
LAST UPDATED 2024-03-14 23:55:22 UTC
LAST UPDATED 2024-03-14 23:55:22 UTC
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