Licensee Name:STUDENT HEALTH CTR PHCY
License Type:RETAIL PHARMACY(FEE EXEMPT) BUSINESS LICENSE
License Number:19589
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:November 01, 1984
Address:SONOMA STATE UNIVERSITY
City:ROHNERT PARK
State:CA
Zip:94928
County:SONOMA
Actions:No
NumberNameTypeStatus
37015KLOTZ ALLAN JOSEPHREGISTERED PHARMACISTCLEAR

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