California
Department of Consumer Affairs
ROSA MICHAEL RAYMOND
Pharmacy - Designated Representative (Exemptees)
License number
16974
Date granted
05/06/2003
Date expires
05/01/2007
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
101 GRAVES AVE SAN LUIS OBISPO CA 93405
californialicensing.org
ID 11672074
LAST UPDATED 2024-04-20 08:59:22 UTC
LAST UPDATED 2024-04-20 08:59:22 UTC
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