License holder summary

MOEN PHILLIP W is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for MOEN PHILLIP W is 9 MASON IRVINE CA 92618. This licensed professional license is not current. The license was granted 04/25/2005 and expired on 04/01/2007.

California

Department of Consumer Affairs

MOEN PHILLIP W
Pharmacy - Designated Representative (Exemptees)
License number
18070
Date granted
04/25/2005
Date expires
04/01/2007
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
9 MASON IRVINE CA 92618
californialicensing.org
ID 11668297
LAST UPDATED 2024-05-10 02:26:06 UTC

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