License holder summary

VADER MICHAEL BRIAN is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for VADER MICHAEL BRIAN is 12731 JULIAN AVE LAKESIDE CA 92040. This licensed professional license is current. The license was granted 11/12/2009 and expired on 11/01/2016.

California

Department of Consumer Affairs

VADER MICHAEL BRIAN
Pharmacy - Designated Representative (Exemptees)
License number
20401
Date granted
11/12/2009
Date expires
11/01/2016
Class
Pharmacy - Designated Representative (Exemptees)
Status
Clear
Address
12731 JULIAN AVE LAKESIDE CA 92040
californialicensing.org
ID 11671881
LAST UPDATED 2024-05-13 12:05:32 UTC

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