California
Department of Consumer Affairs
TANVIRAT NARISARA
Pharmacy - Designated Representative (Exemptees)
License number
17235
Date granted
10/21/2003
Date expires
10/01/2007
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
1108 CINNABAR WY VACAVILLE CA 95687
californialicensing.org
ID 11673448
LAST UPDATED 2024-04-23 12:31:36 UTC
LAST UPDATED 2024-04-23 12:31:36 UTC
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