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
LAST UPDATED 2024-05-11 03:52:09 UTC
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