California
Department of Consumer Affairs
LEWIS KEVIN PETER
Pharmacy - Designated Representative (Exemptees)
License number
18969
Date granted
12/12/2006
Date expires
12/01/2013
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
920 PINER RD SANTA ROSA CA 95403
californialicensing.org
ID 11672465
LAST UPDATED 2024-02-07 12:37:46 UTC
LAST UPDATED 2024-02-07 12:37:46 UTC
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