License holder summary

FORMUZAN VYACHESLAV is a Pharmacy Technician licensed to practice in California. The address on file for FORMUZAN VYACHESLAV is 3238 SCOTLAND DR ANTELOPE CA 95843. This pharmacist license is not current. The license was granted 09/12/2000 and expired on 06/30/2004.

Department of Consumer Affairs

Board of Pharmacy

FORMUZAN VYACHESLAV
Pharmacy Technician
License number
34569
Date granted
09/12/2000
Date expires
06/30/2004
Class
Pharmacy Technician
Status
Canceled
Address
3238 SCOTLAND DR ANTELOPE CA 95843
californiapharmacists.org
ID 11717806
LAST UPDATED 2024-03-09 16:20:17 UTC

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