Licensee Name:RIVERSIDE COUNTY REGIONAL MED CTR
License Type:RETAIL PHARMACY(FEE EXEMPT) BUSINESS LICENSE
License Number:43593
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:April 03, 1998
Address:26520 CACTUS AVENUE
City:MORENO VALLEY
State:CA
Zip:92555
County:RIVERSIDE
Actions:No
NumberNameTypeStatus
61216TIDWELL DAVALYN SANAYEREGISTERED PHARMACISTCLEAR

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