Licensee Name:MODEL DRUG
License Type:LICENSED STERILE COMPOUNDING
License Number:99007
License Status:CANCELLED Definition
Expiration Date:June 01, 2010
Issue Date:July 01, 2003
Address:1506 DRAPER
City:KINGSBURG
State:CA
Zip:93631
County:FRESNO
Actions:No
NumberNameTypeStatus
35807MODEL DRUGRETAIL PHARMACYCANCELLED
46380MODEL DRUG INCRETAIL PHARMACYCLEAR

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