License holder summary

SOUSA LORI ANN is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for SOUSA LORI ANN is 4490 SOUTH K STREET TULARE CA 93274. This licensed professional license is not current. The license was granted 04/25/1997 and expired on 04/01/2003.

California

Department of Consumer Affairs

SOUSA LORI ANN
Pharmacy - Designated Representative (Exemptees)
License number
13742
Date granted
04/25/1997
Date expires
04/01/2003
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
4490 SOUTH K STREET TULARE CA 93274
californialicensing.org
ID 11673191
LAST UPDATED 2026-04-19 15:33:28 UTC

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