License holder summary

SCHULTZ MARK NISSEN is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for SCHULTZ MARK NISSEN is 4 ROLLINGWOOD DRIVE SAN RAFAEL CA 94901. This licensed professional license is not current. The license was granted 01/18/2008 and expired on 01/01/2015.

California

Department of Consumer Affairs

SCHULTZ MARK NISSEN
Pharmacy - Designated Representative (Exemptees)
License number
19619
Date granted
01/18/2008
Date expires
01/01/2015
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
4 ROLLINGWOOD DRIVE SAN RAFAEL CA 94901
californialicensing.org
ID 11672126
LAST UPDATED 2024-02-20 11:48:00 UTC

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