License holder summary

LEIVA CARMEN is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for LEIVA CARMEN is 67 W EASY STREET SUITE 117 SIMI VALLEY CA 93065. This licensed professional license is not current. The license was granted 04/25/1996 and expired on 04/01/2003.

California

Department of Consumer Affairs

LEIVA CARMEN
Pharmacy - Designated Representative (Exemptees)
License number
13110
Date granted
04/25/1996
Date expires
04/01/2003
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
67 W EASY STREET SUITE 117 SIMI VALLEY CA 93065
californialicensing.org
ID 11672575
LAST UPDATED 2024-04-10 10:24:20 UTC

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