License holder summary

NIENABER DEREK CHARLES is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for NIENABER DEREK CHARLES is 4899 CAMPBELL AVE NO 2 SAN JOSE CA 95130. This licensed professional license is not current. The license was granted 02/25/2008 and expired on 02/01/2009.

California

Department of Consumer Affairs

NIENABER DEREK CHARLES
Pharmacy - Designated Representative (Exemptees)
License number
19582
Date granted
02/25/2008
Date expires
02/01/2009
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
4899 CAMPBELL AVE NO 2 SAN JOSE CA 95130
californialicensing.org
ID 11671958
LAST UPDATED 2024-02-19 14:36:03 UTC

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