California
Department of Consumer Affairs
PAYNE DONALD C
Pharmacy - Designated Representative (Exemptees)
License number
17044
Date granted
06/19/2003
Date expires
06/01/2006
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
8709 DELTA ST LA MESA CA 91942
californialicensing.org
ID 11668493
LAST UPDATED 2026-06-11 10:17:45 UTC
LAST UPDATED 2026-06-11 10:17:45 UTC
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