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 2026-04-18 13:05:16 UTC
LAST UPDATED 2026-04-18 13:05:16 UTC
This website is unaffiliated with the Department of Consumer Affairs. Please verify all information directly with the relevant official government authority.