Licensee Name:KINDRED HOSPITAL MODESTO
License Type:LICENSED STERILE COMPOUNDING
License Number:99315
License Status:CANCELLED Definition
Expiration Date:February 01, 2009
Issue Date:February 17, 2006
Address:730 17TH ST
City:MODESTO
State:CA
Zip:95354
County:STANISLAUS
Actions:No
NumberNameTypeStatus
47223KINDRED HOSPITAL MODESTOHOSPITAL PHARMACY CANCELLED

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