California
Department of Consumer Affairs
SILVA MATTHEW J
Pharmacy - Designated Representative (Exemptees)
License number
17484
Date granted
05/21/2004
Date expires
05/01/2006
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
337 FORREST AVENUE LODI CA 95240
californialicensing.org
ID 11668774
LAST UPDATED 2024-04-24 13:26:45 UTC
LAST UPDATED 2024-04-24 13:26:45 UTC
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