Department of Consumer Affairs
Board of Pharmacy
BASALLO MARC ANTHONY
Pharmacy Technician
License number
46875
Date granted
07/29/2003
Date expires
03/31/2013
Class
Pharmacy Technician
Status
Revoked
Address
841 CANTERBURY LN SAN DIMAS CA 91773
californiapharmacists.org
ID 11971388
LAST UPDATED 2024-01-29 22:11:19 UTC
LAST UPDATED 2024-01-29 22:11:19 UTC
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