Licensee Name:DEPARTMENT OF STATE HOSPITALS - ATASCADEO
License Type:HOSPITAL PHARMACY (FEE EXEMPT)
License Number:17390
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:November 01, 1984
Address:10333 EL CAMINO REAL
P O BOX 7001
City:ATASCADERO
State:CA
Zip:93423
County:SAN LUIS OBISPO
Actions:No
NumberNameTypeStatus
31390O BRIEN RONALD PATRICKREGISTERED PHARMACISTCLEAR

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