Licensee Name:COMMUNITY INFUSION SERVICES
License Type:LICENSED STERILE COMPOUNDING
License Number:99256
License Status:CANCELLED Definition
Expiration Date:July 01, 2005
Issue Date:July 07, 2004
Address:3303 HARBOR BLVD #D8
City:COSTA MESA
State:CA
Zip:92626
County:ORANGE
Actions:No
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