New Jersey
Division of Consumer Affairs
Jonathan P DeStasio
Pharmacy - Immunization Approval
License number
28RJ00649
Date granted
09/23/2009
Date expires
04/30/2015
Class
Pharmacy - Immunization Approval
Status
Active
licensingnj.com
ID 9608498
LAST UPDATED 2026-03-12 22:26:50 UTC
LAST UPDATED 2026-03-12 22:26:50 UTC
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