California
Department of Consumer Affairs
SUR SIVE
Registered Pharmacist
License number
24207
Date expires
10/31/1981
Class
Registered Pharmacist
Status
Revoked
Address
96 AIKEN WAY SACRAMENTO CA 95819
californialicensing.org
ID 12152111
LAST UPDATED 2024-02-08 14:20:52 UTC
LAST UPDATED 2024-02-08 14:20:52 UTC
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