Licensee Name:WASON MICHELLE
License Type:DESIGNATED REPRESENTATIVE FOR VETERINARY FOOD-ANIMAL DRUG RETAILER
License Number:16455
License Status:DELINQUENT Definition
Expiration Date:December 01, 2014
Issue Date:December 19, 2001
Address:3913 VON SAVOYE LN
City:MODESTO
State:CA
Zip:95355
County:STANISLAUS
Actions:No
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