License holder summary

PELTON AGNES M is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for PELTON AGNES M is 11231 JERSEY BLVD RANCHO CUCAMONGA CA 91730. This licensed professional license is not current. The license was granted 01/16/2003 and expired on 01/01/2010.

California

Department of Consumer Affairs

PELTON AGNES M
Pharmacy - Designated Representative (Exemptees)
License number
16829
Date granted
01/16/2003
Date expires
01/01/2010
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
11231 JERSEY BLVD RANCHO CUCAMONGA CA 91730
californialicensing.org
ID 11670547
LAST UPDATED 2024-05-04 22:54:03 UTC

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