Licensee Name:STANISLAUS MED CTR MED ARTS BLDG PHY
License Type:RETAIL PHARMACY(FEE EXEMPT) BUSINESS LICENSE
License Number:37287
License Status:CANCELLED Definition
Expiration Date:November 01, 2003
Issue Date:August 22, 1991
Address:700 17TH STREET SUITE 108
City:MODESTO
State:CA
Zip:95354
County:STANISLAUS
Actions:No
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