California
Department of Consumer Affairs
PASAO EFREN SAMALA
Pharmacy - Designated Representative (Exemptees)
License number
17345
Date granted
02/17/2004
Date expires
02/01/2005
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
450 CHARCOT AVENUE SAN JOSE CA 95131
californialicensing.org
ID 11671961
LAST UPDATED 2024-03-11 11:08:39 UTC
LAST UPDATED 2024-03-11 11:08:39 UTC
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