California
Department of Consumer Affairs
LAXEN TIMOTHY JOHN
Pharmacy - Designated Representative (Exemptees)
License number
21728
Date granted
05/02/2012
Date expires
05/01/2014
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
23729 STRATTON COURT HAYWARD CA 94541
californialicensing.org
ID 11667972
LAST UPDATED 2026-05-12 07:06:23 UTC
LAST UPDATED 2026-05-12 07:06:23 UTC
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