License holder summary

WALL JEFFERSON S is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for WALL JEFFERSON S is 1312 WHITTIER DR DAVIS CA 95616. This licensed professional license is not current. The license was granted 12/20/2004 and expired on 12/01/2006.

California

Department of Consumer Affairs

WALL JEFFERSON S
Pharmacy - Designated Representative (Exemptees)
License number
17756
Date granted
12/20/2004
Date expires
12/01/2006
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
1312 WHITTIER DR DAVIS CA 95616
californialicensing.org
ID 11666801
LAST UPDATED 2026-07-13 08:59:17 UTC

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