Licensee Name:KARIA PANNA SANJAY
License Type:PHARMACY TECHNICIAN
License Number:99979
License Status:CANCELLED Definition
Expiration Date:November 30, 2011
Issue Date:March 22, 2010
Address:727 PASEO CAMARILLO 162
City:CAMARILLO
State:CA
Zip:93010
County:VENTURA
Actions:No
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