Licensee Name:MODEL DRUG INC
License Type:LICENSED STERILE COMPOUNDING
License Number:99825
License Status:CLEAR Definition
Expiration Date:June 01, 2015
Issue Date:May 20, 2013
Address:1506 DRAPER ST
City:KINGSBURG
State:CA
Zip:93631
County:FRESNO
Actions:No
NumberNameTypeStatus
46380MODEL DRUG INCRETAIL PHARMACYCLEAR
55669KENNEDY NATALIE ANNEREGISTERED PHARMACISTCLEAR

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