License holder summary

WIXTED CHARLES M is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for WIXTED CHARLES M is 1121 REGATTA AVE RICHMOND CA 94804. This licensed professional license is not current. The license was granted 03/08/2000 and expired on 03/01/2004.

California

Department of Consumer Affairs

WIXTED CHARLES M
Pharmacy - Designated Representative (Exemptees)
License number
15455
Date granted
03/08/2000
Date expires
03/01/2004
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
1121 REGATTA AVE RICHMOND CA 94804
californialicensing.org
ID 11670778
LAST UPDATED 2026-05-25 06:07:15 UTC

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