License holder summary

PROVENCIO VICTOR RODRIGUEZ is a Registered Pharmacist licensed to practice in California. The address on file for PROVENCIO VICTOR RODRIGUEZ is RT 2, BOX 2250J LAKESIDE AZ 85929.

California

Department of Consumer Affairs

PROVENCIO VICTOR RODRIGUEZ
Registered Pharmacist
License number
30594
Date expires
08/31/1985
Class
Registered Pharmacist
Status
Canceled
Address
RT 2, BOX 2250J LAKESIDE AZ 85929
californialicensing.org
ID 20079749
LAST UPDATED 2026-05-22 13:31:43 UTC

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