License holder summary

PORTER DONNELL DWAYNE is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for PORTER DONNELL DWAYNE is 2040 N LINCOLN STREET BURBANK CA 91504. This licensed professional license is current. The license was granted 01/09/2013 and expired on 01/01/2016.

California

Department of Consumer Affairs

PORTER DONNELL DWAYNE
Pharmacy - Designated Representative (Exemptees)
License number
21989
Date granted
01/09/2013
Date expires
01/01/2016
Class
Pharmacy - Designated Representative (Exemptees)
Status
Clear
Address
2040 N LINCOLN STREET BURBANK CA 91504
californialicensing.org
ID 11665760
LAST UPDATED 2024-03-21 17:36:11 UTC

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