License holder summary

BURNS-PROVENCIO EUGENA R is a Pharmacy Technician licensed to practice in California. The address on file for BURNS-PROVENCIO EUGENA R is 4351 E GRAND AV POMONA CA 91766. This pharmacist license is not current. The license was granted 12/05/1995 and expired on 04/30/2015.

Department of Consumer Affairs

Board of Pharmacy

BURNS-PROVENCIO EUGENA R
Pharmacy Technician
License number
17833
Date granted
12/05/1995
Date expires
04/30/2015
Class
Pharmacy Technician
Status
Canceled
Address
4351 E GRAND AV POMONA CA 91766
californiapharmacists.org
ID 11928042
LAST UPDATED 2024-03-26 03:31:11 UTC

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