License holder summary

MIRANDA RICHARD J is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for MIRANDA RICHARD J is 1596 A ANNAHEIM BLVD, BLDG B ANAHEIM CA 92805. This licensed professional license is not current. The license was granted 10/22/2004 and expired on 10/01/2007.

California

Department of Consumer Affairs

MIRANDA RICHARD J
Pharmacy - Designated Representative (Exemptees)
License number
17684
Date granted
10/22/2004
Date expires
10/01/2007
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
1596 A ANNAHEIM BLVD, BLDG B ANAHEIM CA 92805
californialicensing.org
ID 11665252
LAST UPDATED 2024-03-10 08:38:45 UTC

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