California
Department of Consumer Affairs
VILLAVICENCIO PRINCESS M
Pharmacy - Designated Representative (Exemptees)
License number
17257
Date granted
11/20/2003
Date expires
11/01/2005
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
19833 CAMDEN AVE HAYWARD CA 94541
californialicensing.org
ID 11668022
LAST UPDATED 2024-05-17 01:39:36 UTC
LAST UPDATED 2024-05-17 01:39:36 UTC
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