License holder summary

LEWIS RANDALL WAYNE is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for LEWIS RANDALL WAYNE is 1418 N MARKET BOULEVARD SUITE 300A SACRAMENTO CA 95834. This licensed professional license is not current. The license was granted 07/19/2001 and expired on 07/01/2005.

California

Department of Consumer Affairs

LEWIS RANDALL WAYNE
Pharmacy - Designated Representative (Exemptees)
License number
16311
Date granted
07/19/2001
Date expires
07/01/2005
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
1418 N MARKET BOULEVARD SUITE 300A SACRAMENTO CA 95834
californialicensing.org
ID 11671019
LAST UPDATED 2024-03-20 13:59:58 UTC

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