Licensee Name:KOHANA PHARMACY AND CENTER FOR REGENERATIVE MEDICINE
License Type:LICENSED STERILE COMPOUNDING
License Number:99609
License Status:CLEAR Definition
Expiration Date:April 01, 2015
Issue Date:May 26, 2010
Address:181 TANK FARM RD #120
City:SAN LUIS OBISPO
State:CA
Zip:93401
County:SAN LUIS OBISPO
Actions:No
NumberNameTypeStatus
32154QUINN ROBERT DENISREGISTERED PHARMACISTCLEAR
50264KOHANA PHARMACY AND CENTER FOR REGENERATIVE MEDICINERETAIL PHARMACYCLEAR

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