Licensee Name:ELLSWORTH ASHLEY IRENE
License Type:PHARMACY TECHNICIAN
License Number:107666
License Status:CANCELLED Definition
Expiration Date:January 31, 2012
Issue Date:November 09, 2010
Address:3436 SAMSON WY
City:CASTRO VALLEY
State:CA
Zip:94546
County:ALAMEDA
Actions:No
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