License holder summary

PROVAN STEPHEN TIMOTHY is a Registered Pharmacist licensed to practice in California. The address on file for PROVAN STEPHEN TIMOTHY is 1228 FORREST ST FOLSOM CA 95630. This licensed professional license is current. The license was granted 09/15/1993 and expired on 02/28/2017.

California

Department of Consumer Affairs

PROVAN STEPHEN TIMOTHY
Registered Pharmacist
License number
46739
Date granted
09/15/1993
Date expires
02/28/2017
Class
Registered Pharmacist
Status
Clear
Address
1228 FORREST ST FOLSOM CA 95630
californialicensing.org
ID 12123658
LAST UPDATED 2024-03-07 13:39:03 UTC

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