License holder summary

OTA KEITH KIYOSHI is a Registered Pharmacist licensed to practice in California. The address on file for OTA KEITH KIYOSHI is 2522 GLENBROOK DR LODI CA 95242. This licensed professional license is current. The license was granted 07/17/1974 and expired on 08/31/2017.

California

Department of Consumer Affairs

OTA KEITH KIYOSHI
Registered Pharmacist
License number
29178
Date granted
07/17/1974
Date expires
08/31/2017
Class
Registered Pharmacist
Status
Clear
Address
2522 GLENBROOK DR LODI CA 95242
californialicensing.org
ID 12133374
LAST UPDATED 2026-05-10 08:17:57 UTC

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