License holder summary

BLACK EAGLE DOLORES MAE is a Pharmacy Technician licensed to practice in California. The address on file for BLACK EAGLE DOLORES MAE is PO BOX 896 CLEARLAKE CA 95422. This pharmacist license is not current. The license was granted 12/29/2003 and expired on 12/31/2005.

Department of Consumer Affairs

Board of Pharmacy

BLACK EAGLE DOLORES MAE
Pharmacy Technician
License number
53599
Date granted
12/29/2003
Date expires
12/31/2005
Class
Pharmacy Technician
Status
Canceled
Address
PO BOX 896 CLEARLAKE CA 95422
californiapharmacists.org
ID 11751995
LAST UPDATED 2026-06-08 05:22:55 UTC

This website is unaffiliated with the Board of Pharmacy. Please verify all information directly with the relevant official government authority.

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