License holder summary

THERIAULT LANCE J is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for THERIAULT LANCE J is 9747 BUSINESS PARK AVE SAN DIEGO CA 92131. This licensed professional license is not current. The license was granted 10/08/1999 and expired on 10/01/2001.

California

Department of Consumer Affairs

THERIAULT LANCE J
Pharmacy - Designated Representative (Exemptees)
License number
15178
Date granted
10/08/1999
Date expires
10/01/2001
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
9747 BUSINESS PARK AVE SAN DIEGO CA 92131
californialicensing.org
ID 11671704
LAST UPDATED 2024-05-02 20:28:01 UTC

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