License holder summary

SMALL SAMUEL A is a Registered Pharmacist licensed to practice in California. The address on file for SMALL SAMUEL A is 5325 AGNES AVE 3 NORTH HOLLYWOOD CA 91607.

California

Department of Consumer Affairs

SMALL SAMUEL A
Registered Pharmacist
License number
15536
Date expires
10/31/1973
Class
Registered Pharmacist
Status
Revoked
Address
5325 AGNES AVE 3 NORTH HOLLYWOOD CA 91607
californialicensing.org
ID 12142450
LAST UPDATED 2024-01-25 22:58:17 UTC

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