Licensee Name:ELPIDAMA FRANCISCO JEREZ
License Type:PHARMACY TECHNICIAN
License Number:5961
License Status:CANCELLED Definition
Expiration Date:November 30, 1998
Issue Date:March 22, 1993
Address:1425 SEAPORT DRIVE
City:OXNARD
State:CA
Zip:93030
County:VENTURA
Actions:No
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