Licensee Name:KAPULKIN IRINA
License Type:PHARMACY TECHNICIAN
License Number:44540
License Status:CLEAR Definition
Expiration Date:November 30, 2016
Issue Date:October 25, 2002
Address:5350 RHEA AVE
City:TARZANA
State:CA
Zip:91356
County:LOS ANGELES
Actions:No
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