License holder summary

SPARKS LISA ANN is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for SPARKS LISA ANN is 1100 MARSHALL WAY PLACERVILLE CA 95667. This licensed professional license is current. The license was granted 09/05/2008 and expired on 09/01/2016.

California

Department of Consumer Affairs

SPARKS LISA ANN
Pharmacy - Designated Representative (Exemptees)
License number
19898
Date granted
09/05/2008
Date expires
09/01/2016
Class
Pharmacy - Designated Representative (Exemptees)
Status
Clear
Address
1100 MARSHALL WAY PLACERVILLE CA 95667
californialicensing.org
ID 11670334
LAST UPDATED 2024-05-24 17:27:43 UTC

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