California
Department of Consumer Affairs
PRIVAT ELAINE
Pharmacy - Designated Representative (Exemptees)
License number
12099
Date granted
01/25/1994
Date expires
01/01/2000
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
1215 S CLOVERDALE BLVD CLOVERDALE CA 95424
californialicensing.org
ID 19869842
LAST UPDATED 2026-05-19 00:58:28 UTC
LAST UPDATED 2026-05-19 00:58:28 UTC
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