License holder summary

MODROVICH IVAN E is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for MODROVICH IVAN E is 96 NATALIE WAY CAMARILLO CA 93010. This licensed professional license is not current. The license was granted 07/14/2000 and expired on 07/01/2014.

California

Department of Consumer Affairs

MODROVICH IVAN E
Pharmacy - Designated Representative (Exemptees)
License number
15673
Date granted
07/14/2000
Date expires
07/01/2014
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
96 NATALIE WAY CAMARILLO CA 93010
californialicensing.org
ID 11665858
LAST UPDATED 2024-04-12 20:32:40 UTC

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