Licensee Name:ELLIS IRENE JEAN
License Type:PHARMACY TECHNICIAN
License Number:139855
License Status:CLEAR Definition
Expiration Date:April 30, 2016
Issue Date:June 17, 2014
Address:355 FRISBIE CIR
City:VACAVILLE
State:CA
Zip:95688
County:SOLANO
Actions:No
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