License holder summary

LIDEN LYLE EDWARD is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for LIDEN LYLE EDWARD is 19389 MEADOW VIEW DR WOODBRIDGE CA 95258. This licensed professional license is not current. The license was granted 08/24/2001 and expired on 08/01/2015.

California

Department of Consumer Affairs

LIDEN LYLE EDWARD
Pharmacy - Designated Representative (Exemptees)
License number
16356
Date granted
08/24/2001
Date expires
08/01/2015
Class
Pharmacy - Designated Representative (Exemptees)
Status
Delinquent
Address
19389 MEADOW VIEW DR WOODBRIDGE CA 95258
californialicensing.org
ID 11674265
LAST UPDATED 2024-04-23 09:36:47 UTC

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