Licensee Name:ELLIS DARLENE MARIE
License Type:PHARMACY TECHNICIAN
License Number:22981
License Status:CANCELLED Definition
Expiration Date:June 30, 1999
Issue Date:June 27, 1997
Address:23345 VIA SAN GABRIEL
City:LAGUNA HILLS
State:CA
Zip:92656
County:ORANGE
Actions:No
No records returned

Comments