License holder summary

MATHIESEN JOHNNY is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for MATHIESEN JOHNNY is 17 PASTEUR STREET IRVINE CA 92618. This licensed professional license is not current. The license was granted 01/16/1998 and expired on 01/01/2002.

California

Department of Consumer Affairs

MATHIESEN JOHNNY
Pharmacy - Designated Representative (Exemptees)
License number
14126
Date granted
01/16/1998
Date expires
01/01/2002
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
17 PASTEUR STREET IRVINE CA 92618
californialicensing.org
ID 11668283
LAST UPDATED 2024-03-06 20:54:15 UTC

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