License holder summary

SIACOTOS THOMAS J is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for SIACOTOS THOMAS J is 35325 RAMSGATE DRIVE NEWARK CA 94560. This licensed professional license is not current. The license was granted 09/28/2004 and expired on 09/01/2005.

California

Department of Consumer Affairs

SIACOTOS THOMAS J
Pharmacy - Designated Representative (Exemptees)
License number
17648
Date granted
09/28/2004
Date expires
09/01/2005
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
35325 RAMSGATE DRIVE NEWARK CA 94560
californialicensing.org
ID 19871022
LAST UPDATED 2024-03-27 05:53:37 UTC

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