California
Department of Consumer Affairs
TAN EDWARDO GAMBOA
Pharmacy - Designated Representative (Exemptees)
License number
20491
Date granted
05/28/2010
Date expires
05/01/2013
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
3378 N SAN FERNANDO RD 101 LOS ANGELES CA 90065
californialicensing.org
ID 11668984
LAST UPDATED 2026-06-03 20:52:50 UTC
LAST UPDATED 2026-06-03 20:52:50 UTC
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