California
Department of Consumer Affairs
NGO LISA
Registered Pharmacist
License number
72175
Date granted
12/15/2014
Date expires
06/30/2016
Class
Registered Pharmacist
Status
Clear
Address
337 S FREMONT ST APT 409 SAN MATEO CA 94401
californialicensing.org
ID 31333631
LAST UPDATED 2026-05-25 22:43:22 UTC
LAST UPDATED 2026-05-25 22:43:22 UTC
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