License holder summary

MORRIS PROVIDENCE DISTEFANO is a Registered Pharmacist licensed to practice in California. The address on file for MORRIS PROVIDENCE DISTEFANO is 3150 GOLDFINCH STREET SAN DIEGO CA 92103. This licensed professional license is not current. The license was granted 08/16/1991 and expired on 03/31/2015.

California

Department of Consumer Affairs

MORRIS PROVIDENCE DISTEFANO
Registered Pharmacist
License number
44588
Date granted
08/16/1991
Date expires
03/31/2015
Class
Registered Pharmacist
Status
Canceled
Address
3150 GOLDFINCH STREET SAN DIEGO CA 92103
californialicensing.org
ID 12154994
LAST UPDATED 2024-02-29 17:28:04 UTC

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