Licensee Name:KAPPAS CHERRY LYN
License Type:PHARMACY TECHNICIAN
License Number:103988
License Status:CANCELLED Definition
Expiration Date:October 31, 2011
Issue Date:June 24, 2010
Address:5215 FARAGO AVE #B
City:TEMPLE CITY
State:CA
Zip:91780
County:LOS ANGELES
Actions:No
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