Licensee Name:COMPOUNDING PRESCRIPTION SPECIALISTS
License Type:LICENSED STERILE COMPOUNDING
License Number:99137
License Status:CANCELLED Definition
Expiration Date:July 01, 2012
Issue Date:August 28, 2003
Address:250 W MAIN ST #103
City:WOODLAND
State:CA
Zip:95695
County:YOLO
Actions:No
NumberNameTypeStatus
45990COMPOUNDING PRESCRIPTION SPECIALISTSRETAIL PHARMACYCANCELLED

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