Licensee Name:PALM DRIVE HOSPITAL
License Type:DRUG ROOM (FEE EXEMPT)
License Number:45888
License Status:CANCELLED Definition
Expiration Date:November 01, 2002
Issue Date:July 01, 2002
Address:501 PETALUMA AVE
City:SEBASTOPOL
State:CA
Zip:95472
County:SONOMA
Actions:No
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