License holder summary

LAVI MOUSSA is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for LAVI MOUSSA is 5115 DOUGLAS FIR RD #D CALABASAS CA 91302. This licensed professional license is not current. The license was granted 03/21/2005 and expired on 03/01/2008.

California

Department of Consumer Affairs

LAVI MOUSSA
Pharmacy - Designated Representative (Exemptees)
License number
18038
Date granted
03/21/2005
Date expires
03/01/2008
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
5115 DOUGLAS FIR RD #D CALABASAS CA 91302
californialicensing.org
ID 11665796
LAST UPDATED 2024-04-24 18:01:38 UTC

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