License holder summary

MOMTAZI SARA is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for MOMTAZI SARA is 15295 ALTON PKWY IRVINE CA 92618. This licensed professional license is not current. The license was granted 05/06/2003 and expired on 05/01/2007.

California

Department of Consumer Affairs

MOMTAZI SARA
Pharmacy - Designated Representative (Exemptees)
License number
16976
Date granted
05/06/2003
Date expires
05/01/2007
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
15295 ALTON PKWY IRVINE CA 92618
californialicensing.org
ID 11668296
LAST UPDATED 2024-02-19 14:34:20 UTC

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