Licensee Name:ELLIS VERONICA LYNN
License Type:PHARMACY TECHNICIAN
License Number:101661
License Status:DELINQUENT Definition
Expiration Date:July 31, 2011
Issue Date:May 04, 2010
Address:4230 AMISTAD AVE
City:PICO RIVERA
State:CA
Zip:90660
County:LOS ANGELES
Actions:No
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