License holder summary

MORTENSEN SCOTT WILLIAM is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for MORTENSEN SCOTT WILLIAM is 18925 NAVAJO ROAD APPLE VALLEY CA 92307. This licensed professional license is not current. The license was granted 05/13/2009 and expired on 05/01/2012.

California

Department of Consumer Affairs

MORTENSEN SCOTT WILLIAM
Pharmacy - Designated Representative (Exemptees)
License number
20104
Date granted
05/13/2009
Date expires
05/01/2012
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
18925 NAVAJO ROAD APPLE VALLEY CA 92307
californialicensing.org
ID 11665324
LAST UPDATED 2024-03-29 21:19:37 UTC

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