License holder summary

HERNANDEZ MARIO M is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for HERNANDEZ MARIO M is 1068 STACEY AVE EL CENTRO CA 92243. This licensed professional license is current. The license was granted 06/13/2003 and expired on 06/01/2016.

California

Department of Consumer Affairs

HERNANDEZ MARIO M
Pharmacy - Designated Representative (Exemptees)
License number
17030
Date granted
06/13/2003
Date expires
06/01/2016
Class
Pharmacy - Designated Representative (Exemptees)
Status
Clear
Address
1068 STACEY AVE EL CENTRO CA 92243
californialicensing.org
ID 11667066
LAST UPDATED 2025-02-01 16:25:42 UTC

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