Department of Consumer Affairs
Board of Pharmacy
PROVENCIO EMMANUEL ANTHONY
Pharmacy Technician
License number
146959
Date granted
08/28/2015
Date expires
04/30/2017
Class
Pharmacy Technician
Status
Clear
Address
1013 S ORANGE AVE LODI CA 95240
californiapharmacists.org
ID 31339706
LAST UPDATED 2026-03-10 22:41:32 UTC
LAST UPDATED 2026-03-10 22:41:32 UTC
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