Licensee Name:WASCO STATE PRISON/RC
License Type:LICENSED CORRECTIONAL FACILITY (FEE EXEMPT)
License Number:50658
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:July 26, 2011
Address:701 SCOFIELD AVE
City:WASCO
State:CA
Zip:93280
County:KERN
Actions:No
NumberNameTypeStatus
45317UBACHUKWU NNAEMEKA HUMPHREYREGISTERED PHARMACISTCLEAR

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