Licensee Name:ELLIS CASSY MARIE
License Type:PHARMACY TECHNICIAN
License Number:101204
License Status:CLEAR Definition
Expiration Date:July 31, 2016
Issue Date:September 20, 2010
Address:11920 PASKENTA RD
City:RED BLUFF
State:CA
Zip:96080
County:TEHAMA
Actions:No
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