California
Department of Consumer Affairs
ORTIZ ADAM MIGUEL
Pharmacy - Designated Representative (Exemptees)
License number
18774
Date granted
05/01/2006
Date expires
05/01/2007
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
1750 ENTERPRISE BLVD WEST SACRAMENTO CA 95691
californialicensing.org
ID 11674080
LAST UPDATED 2024-04-09 11:38:22 UTC
LAST UPDATED 2024-04-09 11:38:22 UTC
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