California
Department of Consumer Affairs
RUSSELL LATISHA MARIE
Pharmacy - Designated Representative (Exemptees)
License number
19939
Date granted
09/17/2008
Date expires
09/01/2011
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
2205 PALM AV SAN MATEO CA 94403
californialicensing.org
ID 11672101
LAST UPDATED 2024-04-20 01:45:58 UTC
LAST UPDATED 2024-04-20 01:45:58 UTC
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