License holder summary

PORTILLO MARIO E is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for PORTILLO MARIO E is AMERISOURCEBERGEN DRUG CO VALENCIA CA 91355. This licensed professional license is not current. The license was granted 10/20/2005 and expired on 10/01/2006.

California

Department of Consumer Affairs

PORTILLO MARIO E
Pharmacy - Designated Representative (Exemptees)
License number
18342
Date granted
10/20/2005
Date expires
10/01/2006
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
AMERISOURCEBERGEN DRUG CO VALENCIA CA 91355
californialicensing.org
ID 11673594
LAST UPDATED 2024-04-23 22:13:15 UTC

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