License holder summary

VILLAVICENCIO PRINCESS M is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for VILLAVICENCIO PRINCESS M is 19833 CAMDEN AVE HAYWARD CA 94541. This licensed professional license is not current. The license was granted 11/20/2003 and expired on 11/01/2005.

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 2026-05-28 17:53:46 UTC

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