License holder summary

PHELPS KENNETH A is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for PHELPS KENNETH A is 225 S. KNOTT AVE APT 29 ANAHEIM CA 92804. This licensed professional license is not current. The license was granted 12/06/2012 and expired on 12/01/2014.

California

Department of Consumer Affairs

PHELPS KENNETH A
Pharmacy - Designated Representative (Exemptees)
License number
22036
Date granted
12/06/2012
Date expires
12/01/2014
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
225 S. KNOTT AVE APT 29 ANAHEIM CA 92804
californialicensing.org
ID 11665271
LAST UPDATED 2024-03-07 19:13:33 UTC

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