License holder summary

MCCULLOUGH MAXINE P is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for MCCULLOUGH MAXINE P is P O BOX 505 RIALTO CA 92337. This licensed professional license is not current. The license was granted 09/09/2004 and expired on 09/01/2005.

California

Department of Consumer Affairs

MCCULLOUGH MAXINE P
Pharmacy - Designated Representative (Exemptees)
License number
17635
Date granted
09/09/2004
Date expires
09/01/2005
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
P O BOX 505 RIALTO CA 92337
californialicensing.org
ID 11670738
LAST UPDATED 2024-04-25 10:19:02 UTC

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