Licensee Name:MODESTO REHABILITATION HOSPITAL
License Type:LICENSED STERILE COMPOUNDING
License Number:99135
License Status:CANCELLED Definition
Expiration Date:June 01, 2006
Issue Date:October 08, 2003
Address:730 17TH ST
City:MODESTO
State:CA
Zip:95354
County:STANISLAUS
Actions:No
NumberNameTypeStatus
43558MODESTO REHABILITATION HOSPITALHOSPITAL PHARMACY CANCELLED

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