License holder summary

YI TAE I is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for YI TAE I is 1840 DEHAVILLAND DRIVE THOUSAND OAKS CA 91320. This licensed professional license is not current. The license was granted 01/18/1995 and expired on 01/01/1999.

California

Department of Consumer Affairs

YI TAE I
Pharmacy - Designated Representative (Exemptees)
License number
12487
Date granted
01/18/1995
Date expires
01/01/1999
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
1840 DEHAVILLAND DRIVE THOUSAND OAKS CA 91320
californialicensing.org
ID 11673038
LAST UPDATED 2024-06-10 00:06:50 UTC

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