License holder summary

SHULL SHANA S is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for SHULL SHANA S is 4630 NORTHGATE BLVD SUITE 135 SACRAMENTO CA 95834. This licensed professional license is not current. The license was granted 05/15/1998 and expired on 05/01/2000.

California

Department of Consumer Affairs

SHULL SHANA S
Pharmacy - Designated Representative (Exemptees)
License number
14289
Date granted
05/15/1998
Date expires
05/01/2000
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
4630 NORTHGATE BLVD SUITE 135 SACRAMENTO CA 95834
californialicensing.org
ID 11671107
LAST UPDATED 2024-03-26 20:39:21 UTC

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