Licensee Name:CA ST POLYTECH U STUDENT HLTH CTR PHY
License Type:RETAIL PHARMACY(FEE EXEMPT) BUSINESS LICENSE
License Number:39609
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:January 28, 1994
Address:BUILDING 46
3801 W TEMPLE AVE
City:POMONA
State:CA
Zip:91768
County:LOS ANGELES
Actions:No
NumberNameTypeStatus
36732YOUNG ANTONIA SHU LAIREGISTERED PHARMACISTCLEAR

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