License holder summary

MASCARENO JOSE G is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for MASCARENO JOSE G is 305 S IMPERIAL AVE #4 IMPERIAL CA 92251. This licensed professional license is not current. The license was granted 01/12/2007 and expired on 01/01/2009.

California

Department of Consumer Affairs

MASCARENO JOSE G
Pharmacy - Designated Representative (Exemptees)
License number
18996
Date granted
01/12/2007
Date expires
01/01/2009
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
305 S IMPERIAL AVE #4 IMPERIAL CA 92251
californialicensing.org
ID 11668112
LAST UPDATED 2024-03-23 13:36:08 UTC

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