California
Department of Consumer Affairs
SHAUM DOUGLAS JAY
Pharmacy - Designated Representative (Exemptees)
License number
22828
Date granted
07/10/2014
Date expires
07/01/2016
Class
Pharmacy - Designated Representative (Exemptees)
Status
Clear
Address
15182 BONANZA RD VICTORVILLE CA 92392
californialicensing.org
ID 19872521
LAST UPDATED 2026-07-02 12:43:30 UTC
LAST UPDATED 2026-07-02 12:43:30 UTC
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