Licensee Name:ELLIS JUSTIN CONOR
License Type:PHARMACY TECHNICIAN
License Number:135752
License Status:CLEAR Definition
Expiration Date:January 31, 2015
Issue Date:October 18, 2013
Address:3425 ARROYO RD
City:BONITA
State:CA
Zip:91902
County:SAN DIEGO
Actions:No
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