License holder summary

STEVENS DAVID W is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for STEVENS DAVID W is 4256 PIXIE AVE LAKEWOOD CA 90712. This licensed professional license is not current. The license was granted 05/11/2011 and expired on 05/01/2014.

California

Department of Consumer Affairs

STEVENS DAVID W
Pharmacy - Designated Representative (Exemptees)
License number
21119
Date granted
05/11/2011
Date expires
05/01/2014
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
4256 PIXIE AVE LAKEWOOD CA 90712
californialicensing.org
ID 11668642
LAST UPDATED 2024-02-28 20:47:07 UTC

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