Licensee Name:REHOVSKY JEFFERY DEAN
License Type:DESIGNATED REPRESENTATIVE
License Number:19765
License Status:CLEAR Definition
Expiration Date:July 01, 2015
Issue Date:July 24, 2008
Address:1416 STONEYKIRK RD
City:PELHAM
State:AL
Zip:35124
County:OUT OF STATE
Actions:No
NumberNameTypeStatus
4612AMERISOURCEBERGEN DRUG CORPWHOLESALERS (OUT OF STATE) DISTRIBUTOR CLEAR

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