License holder summary

STANFORD MARY A is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for STANFORD MARY A is 10112 THESEUS DR HUNTINGTON BEACH CA 92646. This licensed professional license is not current. The license was granted 08/04/2005 and expired on 08/01/2008.

California

Department of Consumer Affairs

STANFORD MARY A
Pharmacy - Designated Representative (Exemptees)
License number
18232
Date granted
08/04/2005
Date expires
08/01/2008
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
10112 THESEUS DR HUNTINGTON BEACH CA 92646
californialicensing.org
ID 11668100
LAST UPDATED 2024-03-15 11:44:41 UTC

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