Licensee Name:ELLISON JENNIFER ANNE
License Type:PHARMACY TECHNICIAN
License Number:50560
License Status:CANCELLED Definition
Expiration Date:February 28, 2005
Issue Date:October 01, 2003
Address:3224 MAPLEWOOD AVE
City:LOS ANGELES
State:CA
Zip:90066
County:LOS ANGELES
Actions:No
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