License holder summary

STANFORD DONALD R is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for STANFORD DONALD R is 3305 EAST MIRALOMA AVE 177 ANAHEIM CA 92806. This licensed professional license is not current. The license was granted 01/06/2004 and expired on 01/01/2010.

California

Department of Consumer Affairs

STANFORD DONALD R
Pharmacy - Designated Representative (Exemptees)
License number
17291
Date granted
01/06/2004
Date expires
01/01/2010
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
3305 EAST MIRALOMA AVE 177 ANAHEIM CA 92806
californialicensing.org
ID 11665279
LAST UPDATED 2024-02-28 17:35:05 UTC

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