License holder summary

TERRELL LEE WAYNE is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for TERRELL LEE WAYNE is 3603 OLD CONEJO RD NEWBURY PARK CA 91320. This licensed professional license is not current. The license was granted 12/11/2006 and expired on 12/01/2010.

California

Department of Consumer Affairs

TERRELL LEE WAYNE
Pharmacy - Designated Representative (Exemptees)
License number
18899
Date granted
12/11/2006
Date expires
12/01/2010
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
3603 OLD CONEJO RD NEWBURY PARK CA 91320
californialicensing.org
ID 11669459
LAST UPDATED 2024-05-11 03:52:09 UTC

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