Licensee Name:ELLSBERRY STACY LYNN
License Type:PHARMACY TECHNICIAN
License Number:9977
License Status:CANCELLED Definition
Expiration Date:June 30, 1999
Issue Date:September 27, 1993
Address:4450 CALIFORNIA PLACE #275
City:LONG BEACH
State:CA
Zip:90807
County:LOS ANGELES
Actions:No
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