License holder summary

MATLOCK COGAN T is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for MATLOCK COGAN T is 2300 E PACIFIC COAST HWY WILMINGTON CA 90744. This licensed professional license is not current. The license was granted 01/27/1997 and expired on 01/01/1999.

California

Department of Consumer Affairs

MATLOCK COGAN T
Pharmacy - Designated Representative (Exemptees)
License number
13569
Date granted
01/27/1997
Date expires
01/01/1999
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
2300 E PACIFIC COAST HWY WILMINGTON CA 90744
californialicensing.org
ID 11674234
LAST UPDATED 2026-04-04 18:43:13 UTC

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