Licensee Name:WENGER KIMBERLY JO
License Type:DESIGNATED REPRESENTATIVE
License Number:21901
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:November 14, 2012
Address:8248 W DOE AVE
City:VISALIA
State:CA
Zip:93291
County:TULARE
Actions:No
NumberNameTypeStatus
6039GUARDIAN MEDICAL PRODUCTS LLCWHOLESALERSCLEAR

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