California
Department of Consumer Affairs
TAGUE DAVID WAYNE JR
Pharmacy - Designated Representative (Exemptees)
License number
15191
Date granted
10/13/1999
Date expires
10/01/2001
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
3238 DWIGHT RD ELK GROVE CA 95758
californialicensing.org
ID 11667161
LAST UPDATED 2024-04-22 21:33:28 UTC
LAST UPDATED 2024-04-22 21:33:28 UTC
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