Licensee Name:ISAIAS LORETTA MUCETTE
License Type:PHARMACY TECHNICIAN
License Number:88643
License Status:CANCELLED Definition
Expiration Date:May 31, 2012
Issue Date:February 19, 2009
Address:2814 W LINGARD ST
City:LANCASTER
State:CA
Zip:93536
County:LOS ANGELES
Actions:No
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