California
Department of Consumer Affairs
TAN AMPAN
Registered Pharmacist
License number
31859
Date granted
06/13/1978
Date expires
12/31/2013
Class
Registered Pharmacist
Status
Delinquent
Address
1332 FAIRLANCE DR DIAMOND BAR CA 91789
californialicensing.org
ID 12120389
LAST UPDATED 2024-04-16 00:20:44 UTC
LAST UPDATED 2024-04-16 00:20:44 UTC
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