License holder summary

SOUSA MANUEL M is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for SOUSA MANUEL M is 820 QUERRY RD RM H0540 PALO ALTO CA 94304. This licensed professional license is current. The license was granted 07/01/2003 and expired on 07/01/2016.

California

Department of Consumer Affairs

SOUSA MANUEL M
Pharmacy - Designated Representative (Exemptees)
License number
17057
Date granted
07/01/2003
Date expires
07/01/2016
Class
Pharmacy - Designated Representative (Exemptees)
Status
Clear
Address
820 QUERRY RD RM H0540 PALO ALTO CA 94304
californialicensing.org
ID 11670122
LAST UPDATED 2024-02-29 12:15:51 UTC

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