Licensee Name:ELLISON ANGELA M
License Type:PHARMACY TECHNICIAN
License Number:118916
License Status:CANCELLED Definition
Expiration Date:February 28, 2013
Issue Date:December 27, 2011
Address:23365 CAMINITO LAZARO
City:LAGUNA HILLS
State:CA
Zip:92653
County:ORANGE
Actions:No
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