Licensee Name:ELLIS TANESHA NATE
License Type:PHARMACY TECHNICIAN
License Number:77616
License Status:CLEAR Definition
Expiration Date:April 30, 2015
Issue Date:August 17, 2007
Address:1116 S CHESTER AV
City:COMPTON
State:CA
Zip:90221
County:LOS ANGELES
Actions:No
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