License holder summary

PRUITT GLENN A is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for PRUITT GLENN A is 135 INDUSTRIAL BLVD MADISON MS 39110. This licensed professional license is not current. The license was granted 02/23/2005 and expired on 02/01/2014.

California

Department of Consumer Affairs

PRUITT GLENN A
Pharmacy - Designated Representative (Exemptees)
License number
18009
Date granted
02/23/2005
Date expires
02/01/2014
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
135 INDUSTRIAL BLVD MADISON MS 39110
californialicensing.org
ID 19870834
LAST UPDATED 2026-04-10 18:14:42 UTC

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