License holder summary

MONTANEZ THOMAS R is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for MONTANEZ THOMAS R is P O BOX 55223 HAYWARD CA 94545. This licensed professional license is current. The license was granted 10/22/2004 and expired on 10/01/2016.

California

Department of Consumer Affairs

MONTANEZ THOMAS R
Pharmacy - Designated Representative (Exemptees)
License number
17691
Date granted
10/22/2004
Date expires
10/01/2016
Class
Pharmacy - Designated Representative (Exemptees)
Status
Clear
Address
P O BOX 55223 HAYWARD CA 94545
californialicensing.org
ID 11667997
LAST UPDATED 2026-05-21 13:27:49 UTC

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