Licensee Name:CHAMPION CENTER
License Type:DRUG ROOM (FEE EXEMPT)
License Number:51932
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:August 01, 2014
Address:303 SOUTH "C" STREET
City:LOMPOC
State:CA
Zip:93436
County:SANTA BARBARA
Actions:No
NumberNameTypeStatus
50222SIGNORELLI CHAD THOMASREGISTERED PHARMACISTCLEAR

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