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 2024-05-07 13:06:28 UTC
LAST UPDATED 2024-05-07 13:06:28 UTC
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