Licensee Name:KARIMI AMIR SASAN
License Type:PHARMACY TECHNICIAN
License Number:51045
License Status:CANCELLED Definition
Expiration Date:January 31, 2009
Issue Date:November 26, 2003
Address:18840 LA AMISTAD PL
City:TARZANA
State:CA
Zip:91356
County:LOS ANGELES
Actions:No
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