License holder summary

MORA ROMAN is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for MORA ROMAN is 110 VINCA DR MADISON MS 39110. This licensed professional license is not current. The license was granted 01/27/2011 and expired on 01/01/2012.

California

Department of Consumer Affairs

MORA ROMAN
Pharmacy - Designated Representative (Exemptees)
License number
21003
Date granted
01/27/2011
Date expires
01/01/2012
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
110 VINCA DR MADISON MS 39110
californialicensing.org
ID 19870833
LAST UPDATED 2026-05-30 14:08:53 UTC

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