License holder summary

QUEEN JACK SAMUEL is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for QUEEN JACK SAMUEL is 1265 MARK RD ARVIN CA 93203. This licensed professional license is not current. The license was granted 01/11/2008 and expired on 01/01/2013.

California

Department of Consumer Affairs

QUEEN JACK SAMUEL
Pharmacy - Designated Representative (Exemptees)
License number
19599
Date granted
01/11/2008
Date expires
01/01/2013
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
1265 MARK RD ARVIN CA 93203
californialicensing.org
ID 11665346
LAST UPDATED 2026-05-22 00:58:38 UTC

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