License holder summary

WORTHAM RUSSELL D is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for WORTHAM RUSSELL D is 2771 SOUTH MAPLE AVE FRESNO CA 93725. This licensed professional license is not current. The license was granted 07/27/1993 and expired on 07/01/1994.

California

Department of Consumer Affairs

WORTHAM RUSSELL D
Pharmacy - Designated Representative (Exemptees)
License number
11799
Date granted
07/27/1993
Date expires
07/01/1994
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
2771 SOUTH MAPLE AVE FRESNO CA 93725
californialicensing.org
ID 11667601
LAST UPDATED 2024-04-28 06:56:14 UTC

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