Licensee Name:ELLISON MAHELET LEGESSE
License Type:PHARMACY TECHNICIAN
License Number:34185
License Status:CLEAR Definition
Expiration Date:February 29, 2016
Issue Date:August 15, 2000
Address:20652 LASSEN ST 66
City:CHATSWORTH
State:CA
Zip:91311
County:LOS ANGELES
Actions:No
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