Licensee Name:ELLIS DEMETRES RENEE
License Type:PHARMACY TECHNICIAN
License Number:7691
License Status:CANCELLED Definition
Expiration Date:January 31, 1995
Issue Date:June 01, 1993
Address:1200 WEST 69TH STREET
City:LOS ANGELES
State:CA
Zip:90044
County:LOS ANGELES
Actions:No
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