License holder summary

MATHEW DEEPA MARIAM is a Pharmacy Technician licensed to practice in California. The address on file for MATHEW DEEPA MARIAM is 200 S LEXINGTON DR # 621 FOLSOM CA 95630. This pharmacist license is not current. The license was granted 12/19/2005 and expired on 04/30/2007.

Department of Consumer Affairs

Board of Pharmacy

MATHEW DEEPA MARIAM
Pharmacy Technician
License number
66437
Date granted
12/19/2005
Date expires
04/30/2007
Class
Pharmacy Technician
Status
Canceled
Address
200 S LEXINGTON DR # 621 FOLSOM CA 95630
californiapharmacists.org
ID 11786190
LAST UPDATED 2024-02-07 09:31:11 UTC

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