Licensee Name:LAGUNA COMPOUNDING PHARMACY
License Type:LICENSED STERILE COMPOUNDING
License Number:99529
License Status:CANCELLED Definition
Expiration Date:February 01, 2013
Issue Date:October 27, 2008
Address:24902 MOULTON PKWY #110
City:LAGUNA WOODS
State:CA
Zip:92637
County:ORANGE
Actions:No
NumberNameTypeStatus
46350PHAN TONYREGISTERED PHARMACISTCLEAR
48527NGUYEN THUONG-THUONG DINHREGISTERED PHARMACISTCLEAR

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