Licensee Name:KERN VALLEY STATE PRISON PHARMACY
License Type:LICENSED CORRECTIONAL FACILITY (FEE EXEMPT)
License Number:47184
License Status:CLEAR Definition
Expiration Date:June 01, 2015
Issue Date:June 02, 2005
Address:3000 W CECIL AVE
P O BOX 3130
City:DELANO
State:CA
Zip:93215
County:KERN
Actions:No
NumberNameTypeStatus
33265FLYNN BILLY WAYNEREGISTERED PHARMACISTCLEAR

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