License holder summary

WALLER RICHARD EUGENE is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for WALLER RICHARD EUGENE is 2205 NEWTON AVE SAN DIEGO CA 92113. This licensed professional license is not current. The license was granted 08/06/2001 and expired on 08/01/2002.

California

Department of Consumer Affairs

WALLER RICHARD EUGENE
Pharmacy - Designated Representative (Exemptees)
License number
16329
Date granted
08/06/2001
Date expires
08/01/2002
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
2205 NEWTON AVE SAN DIEGO CA 92113
californialicensing.org
ID 11671720
LAST UPDATED 2024-05-13 15:38:54 UTC

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