Licensee Name:ELLIS LATRISA ELAINE
License Type:PHARMACY TECHNICIAN
License Number:57206
License Status:CLEAR Definition
Expiration Date:January 31, 2016
Issue Date:July 02, 2004
Address:3685 NORTH EAST STREET APT 302
City:SAN BERNARDINO
State:CA
Zip:92405
County:SAN BERNARDINO
Actions:No
No records returned

Comments