License holder summary

JACKSON LORETTA OCTAVIA is a Pharmacy Technician licensed to practice in California. The address on file for JACKSON LORETTA OCTAVIA is 14498 DUSTY COYOTE AVE MORENO VALLEY CA 92555. This pharmacist license is not current. The license was granted 05/05/2004 and expired on 12/31/2011.

Department of Consumer Affairs

Board of Pharmacy

JACKSON LORETTA OCTAVIA
Pharmacy Technician
License number
56261
Date granted
05/05/2004
Date expires
12/31/2011
Class
Pharmacy Technician
Status
Canceled
Address
14498 DUSTY COYOTE AVE MORENO VALLEY CA 92555
californiapharmacists.org
ID 11896336
LAST UPDATED 2024-02-23 18:36:13 UTC

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