Department of Consumer Affairs
Board of Pharmacy
SUMAMPONG DERRICK
Pharmacy Technician
License number
146980
Date granted
03/26/2015
Date expires
04/30/2016
Class
Pharmacy Technician
Status
Clear
Address
4953 SHADY TRAIL ST SIMI VALLEY CA 93063
californiapharmacists.org
ID 31343766
LAST UPDATED 2024-03-15 23:25:09 UTC
LAST UPDATED 2024-03-15 23:25:09 UTC
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