License holder summary

PURNAMA HARTONO is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for PURNAMA HARTONO is 18520 STANDFORD RD TRACY CA 95377. This licensed professional license is current. The license was granted 06/19/1996 and expired on 06/01/2016.

California

Department of Consumer Affairs

PURNAMA HARTONO
Pharmacy - Designated Representative (Exemptees)
License number
13242
Date granted
06/19/1996
Date expires
06/01/2016
Class
Pharmacy - Designated Representative (Exemptees)
Status
Clear
Address
18520 STANDFORD RD TRACY CA 95377
californialicensing.org
ID 11673151
LAST UPDATED 2024-02-16 11:40:29 UTC

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