Department Seal.

California Department of Alcoholic Beverage Control
License Query System Summary
as of 10/16/2017

License Information
License Number: 479690
Primary Owner: GARFIELD BEACH CVS LLC
ABC Office of Application: 10 - SAN DIEGO
Business Name
Doing Business As: CVS PHARMACY 9106
Business Address
Address: 1652-54 GARNET AVE      Census Tract: 0079.03
City: SAN DIEGO     County: SAN DIEGO
State: CA     Zip Code: 92109
Licensee Information
Licensee: GARFIELD BEACH CVS LLC
     Company Information
           OFFICER: CVS PHARMACY INC (MANAGING MEMBER)
           OFFICER: MOFFATT, THOMAS (PRESIDENT)
           OFFICER: CIMBRON, LINDA (SECRETARY/ASST SEC)
           OFFICER: DESOUSA, KIMBERLY MARIE (SECRETARY/ASST SEC)
           OFFICER: LUKER, MELANIE (SECRETARY/ASST SEC)
           OFFICER: BEAULIEU, SHEELAGH MARY (TREASURER)
           OFFICER: DENALE, CAROL ANN (VICE PRESIDENT/TREASURER)
           MEMBER: CVS PHARMACY INC
Licensee: LONGS DRUG STORES CALIFORNIA LLC
     Company Information
           OFFICER: LONGS DRUG STORES LLC (MEMBER)
           OFFICER: LANKOWSKY, ZENON (PRESIDENT)
           OFFICER: CIMBRON, LINDA (SECRETARY/ASST SEC)
           OFFICER: MOFFATT, THOMAS (SECRETARY/ASST SEC)
           OFFICER: DENALE, CAROL ANN (VICE PRESIDENT/TREASURER)
           STOCKHOLDER: LONGS DRUG STORES LLC
License Types
   1) License Type: 21 - OFF-SALE GENERAL
          License Type Status: SURRENDERED
          Status Date: 12-JUN-2014               Term: 12 Month(s)
          Original Issue Date: 14-SEP-2009               Expiration Date: 31-AUG-2018
          Master: Y               Duplicate: 0               Fee Code: P40
          License Type was Transferred On: 14-SEP-2009      FROM: 21-439642
Operating Restrictions
. . . No Operating Restrictions found . . .
Current Disciplinary Action
. . . No Active Disciplinary Action found . . .
Disciplinary History
      Reg. Number: 10073466
          1) Section: 25658(A)
          2) Section: 24200(A&B)
          Proceeding Status: CLOSED  Decision: POIC
          Suspension Days: 15  Stayed Days   POIC/Fine: 3000
          Suspension Start Date:
          Suspension End Date:
Hold Information
. . . No Active Holds found . . .
Escrow
. . . No Escrow found . . .


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