California
Department of Consumer Affairs
PAYNE STEPHEN MARK
Pharmacy - Designated Representative (Exemptees)
License number
16468
Date granted
12/27/2001
Date expires
12/01/2009
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
1401 E BALL RD, STE E & F ANAHEIM CA 92805
californialicensing.org
ID 11665267
LAST UPDATED 2024-04-27 07:03:26 UTC
LAST UPDATED 2024-04-27 07:03:26 UTC
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