Licensee Name:REINHART ROSANN JEAN
License Type:DESIGNATED REPRESENTATIVE
License Number:21562
License Status:CLEAR Definition
Expiration Date:December 01, 2015
Issue Date:December 08, 2011
Address:21 SETH SPRAGUE DR
City:MARSHFIELD
State:MA
Zip:02050
County:OUT OF STATE
Actions:No
NumberNameTypeStatus
5840EMD SERONO INCWHOLESALERS (OUT OF STATE) DISTRIBUTOR CLEAR

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