California
Department of Consumer Affairs
PRUSA GARRETT D
Pharmacy - Designated Representative (Exemptees)
License number
17488
Date granted
05/21/2004
Date expires
05/01/2006
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
98 W COCHRAN STREET SUITE C SIMI VALLEY CA 93063
californialicensing.org
ID 11672591
LAST UPDATED 2024-04-30 21:02:12 UTC
LAST UPDATED 2024-04-30 21:02:12 UTC
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