License holder summary

PHOMMALAYVANE BERLINDA is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for PHOMMALAYVANE BERLINDA is 9057 ARROW RT #170 RANCHO CUCAMONGA CA 91730. This licensed professional license is not current. The license was granted 08/16/2004 and expired on 08/01/2006.

California

Department of Consumer Affairs

PHOMMALAYVANE BERLINDA
Pharmacy - Designated Representative (Exemptees)
License number
17596
Date granted
08/16/2004
Date expires
08/01/2006
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
9057 ARROW RT #170 RANCHO CUCAMONGA CA 91730
californialicensing.org
ID 11670549
LAST UPDATED 2024-02-18 00:10:24 UTC

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