Licensee Name:DEPARTMENT OF STATE HOSPITALS - METROPOLITAN
License Type:HOSPITAL PHARMACY (FEE EXEMPT)
License Number:9769
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:November 01, 1984
Address:11401 BLOOMFIELD AVENUE
City:NORWALK
State:CA
Zip:90650
County:LOS ANGELES
Actions:No
NumberNameTypeStatus
31595ITOW GLEN MASREGISTERED PHARMACISTCLEAR

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