Licensee Name:CONVERSIO HEALTH
License Type:LICENSED STERILE COMPOUNDING
License Number:99934
License Status:CLEAR Definition
Expiration Date:September 01, 2015
Issue Date:March 20, 2014
Address:720 AEROVISTA PL STE D
City:SAN LUIS OBISPO
State:CA
Zip:93401-8727
County:SAN LUIS OBISPO
Actions:No
NumberNameTypeStatus
40143ANDRUSKO-FURPHY KATHRYN TREMAINEREGISTERED PHARMACISTCLEAR
51610CONVERSIO HEALTHRETAIL PHARMACYCLEAR

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