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 2024-04-11 12:14:10 UTC
LAST UPDATED 2024-04-11 12:14:10 UTC
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