License holder summary

SHACKELFORD JOSEPH EDWARD is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for SHACKELFORD JOSEPH EDWARD is 2908 SUNCREST CT MODESTO CA 95355. This licensed professional license is not current. The license was granted 03/02/2012 and expired on 03/01/2015.

California

Department of Consumer Affairs

SHACKELFORD JOSEPH EDWARD
Pharmacy - Designated Representative (Exemptees)
License number
21683
Date granted
03/02/2012
Date expires
03/01/2015
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
2908 SUNCREST CT MODESTO CA 95355
californialicensing.org
ID 11669229
LAST UPDATED 2024-02-27 00:00:57 UTC

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