License holder summary

PHAN SHYLYN MARIE is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for PHAN SHYLYN MARIE is 1779 JEFFERY CT SANTA CLARA CA 95051. This licensed professional license is not current. The license was granted 09/27/2011 and expired on 09/01/2012.

California

Department of Consumer Affairs

PHAN SHYLYN MARIE
Pharmacy - Designated Representative (Exemptees)
License number
21251
Date granted
09/27/2011
Date expires
09/01/2012
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
1779 JEFFERY CT SANTA CLARA CA 95051
californialicensing.org
ID 11672255
LAST UPDATED 2024-02-26 18:16:25 UTC

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