Licensee Name:BANNER LASSEN MEDICAL CENTER 1ST FLOOR ROOM 523
License Type:LICENSED STERILE COMPOUNDING
License Number:100034
License Status:CLEAR Definition
Expiration Date:March 01, 2015
Issue Date:June 20, 2014
Address:1800 SPRING RIDGE DR
City:SUSANVILLE
State:CA
Zip:96130
County:LASSEN
Actions:No
NumberNameTypeStatus
46251BANNER LASSEN MEDICAL CENTERHOSPITAL PHARMACY CLEAR
48672NIX ROBERTO JREGISTERED PHARMACISTCLEAR
54493GOLDBERG ALAN SREGISTERED PHARMACISTCLEAR

Comments