California
Department of Consumer Affairs
STAFFORD MAX E
Pharmacy - Designated Representative (Exemptees)
License number
17631
Date granted
09/08/2004
Date expires
09/01/2007
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
1100 MARSHALL WAY PLACERVILLE CA 95667
californialicensing.org
ID 11670335
LAST UPDATED 2026-04-17 12:51:06 UTC
LAST UPDATED 2026-04-17 12:51:06 UTC
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