Licensee Name:JOHN GEORGE PSYCHIATRIC PAVILION PHY
License Type:HOSPITAL PHARMACY (FEE EXEMPT)
License Number:37659
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:January 10, 1992
Address:2060 FAIRMONT DRIVE
City:SAN LEANDRO
State:CA
Zip:94578
County:ALAMEDA
Actions:No
NumberNameTypeStatus
35557CHEUNG DARRYL JAMESREGISTERED PHARMACISTCLEAR

Comments