California
Department of Consumer Affairs
PIVONKA JEANNE LYNNE
Pharmacy - Designated Representative (Exemptees)
License number
20830
Date granted
09/14/2010
Date expires
09/01/2014
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
9520 MEDINA DR SANTEE CA 92071
californialicensing.org
ID 11672496
LAST UPDATED 2026-05-31 22:08:36 UTC
LAST UPDATED 2026-05-31 22:08:36 UTC
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