License holder summary

MALLARE XERCHAMP DIAZ is a Pharmacy Technician licensed to practice in California. The address on file for MALLARE XERCHAMP DIAZ is 13224 NEWPORT AVE #10C TUSTIN CA 92780. This pharmacist license is current. The license was granted 07/17/2012 and expired on 05/31/2016.

Department of Consumer Affairs

Board of Pharmacy

MALLARE XERCHAMP DIAZ
Pharmacy Technician
License number
124949
Date granted
07/17/2012
Date expires
05/31/2016
Class
Pharmacy Technician
Status
Clear
Address
13224 NEWPORT AVE #10C TUSTIN CA 92780
californiapharmacists.org
ID 12026946
LAST UPDATED 2024-05-11 14:01:07 UTC

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