Licensee Name:MAX CARE RX
License Type:LICENSED STERILE COMPOUNDING
License Number:99286
License Status:CANCELLED Definition
Expiration Date:June 01, 2007
Issue Date:October 05, 2006
Address:4835 EL CAMINO REAL
City:ATASCADERO
State:CA
Zip:93422
County:SAN LUIS OBISPO
Actions:No
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