California
Department of Consumer Affairs
MATA MICHAEL
Pharmacy - Designated Representative (Exemptees)
License number
21595
Date granted
01/26/2012
Date expires
01/01/2016
Class
Pharmacy - Designated Representative (Exemptees)
Status
Clear
Address
5200 COMMERCE BLVD ROHNERT PARK CA 94928
californialicensing.org
ID 11670869
LAST UPDATED 2024-03-21 17:20:13 UTC
LAST UPDATED 2024-03-21 17:20:13 UTC
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