Jack Le Roy Holt
ActiveCalifornia license 25355
License
- Licensed by
- California State Board of Pharmacy
- License number
- 25355
- Status
- Active
- First issued
- July 12, 2019
- Expires
- July 1, 2027
- License holder
- Jack Le Roy Holt
- Entity type
- Individual
Classifications
- Wls/mfg Designated Representative In Charge Pharmacy
More from the license record
- License type code
- EXC
- School
- Other/fg
- Year graduated
- 2019
- Degree
- Degree Not Applicable
Contact
916 W Evergreen Blvd
Vancouver, WA 98660
Vancouver, WA 98660