California
Department of Consumer Affairs
NOEHRE SHANE PATRICK
Pharmacy - Designated Representative (Exemptees)
License number
16368
Date granted
08/29/2001
Date expires
08/01/2011
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
20202 WINDROW DR LAKE FOREST CA 92630
californialicensing.org
ID 11668621
LAST UPDATED 2024-06-18 08:35:43 UTC
LAST UPDATED 2024-06-18 08:35:43 UTC
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