Licensee Name:LA COUNTY PROB DPT MED DIV PHCY
License Type:LICENSED CORRECTIONAL FACILITY (FEE EXEMPT)
License Number:14165
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:July 31, 2013
Address:1605 EASTLAKE AVENUE
City:LOS ANGELES
State:CA
Zip:90033
County:LOS ANGELES
Actions:No
NumberNameTypeStatus
44158RAMORAN NELSON TREGISTERED PHARMACISTCLEAR

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