Licensee Name:BRACY MARILYN K
License Type:DESIGNATED REPRESENTATIVE FOR VETERINARY FOOD-ANIMAL DRUG RETAILER
License Number:15754
License Status:CLEAR Definition
Expiration Date:September 01, 2015
Issue Date:September 15, 2000
Address:13159 13TH ROAD WEST
City:HANFORD
State:CA
Zip:93230
County:KINGS
Actions:No
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