Licensee Name:ELLSWORTH JESSICA LYNNE
License Type:PHARMACY TECHNICIAN
License Number:117795
License Status:CLEAR Definition
Expiration Date:February 28, 2015
Issue Date:October 17, 2011
Address:18209 SIERRA HWY #88
City:CANYON COUNTRY
State:CA
Zip:91351
County:LOS ANGELES
Actions:No
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