Licensee Name:ELMISSIREY MOHAMED ESLAM ABDEL KADER
License Type:PHARMACY TECHNICIAN
License Number:54001
License Status:CANCELLED Definition
Expiration Date:March 31, 2006
Issue Date:March 17, 2004
Address:5637 STROHM AVE #8
City:NORTH HOLLYWOOD
State:CA
Zip:91601
County:LOS ANGELES
Actions:No
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