License holder summary

SULLIVAN BRIAN W is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for SULLIVAN BRIAN W is 25799 FOREST DR ESCONDIDO CA 92026. This licensed professional license is not current. The license was granted 06/19/2002 and expired on 06/01/2006.

California

Department of Consumer Affairs

SULLIVAN BRIAN W
Pharmacy - Designated Representative (Exemptees)
License number
16640
Date granted
06/19/2002
Date expires
06/01/2006
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
25799 FOREST DR ESCONDIDO CA 92026
californialicensing.org
ID 11667224
LAST UPDATED 2024-03-20 14:56:38 UTC

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