Licensee Name:MEMORIAL HOSPITAL LOS BANOS
License Type:LICENSED STERILE COMPOUNDING
License Number:99900
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:June 17, 2014
Address:520 WEST I ST
City:LOS BANOS
State:CA
Zip:93635
County:MERCED
Actions:No
NumberNameTypeStatus
27225PETROCELLI JAMES EREGISTERED PHARMACISTCLEAR
49992MEMORIAL HOSPITAL LOS BANOSHOSPITAL PHARMACY CLEAR

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