Licensee Name:UCLA WEST MEDICAL PHARMACY
License Type:RETAIL PHARMACY(FEE EXEMPT) BUSINESS LICENSE
License Number:47612
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:May 26, 2006
Address:1010 VETERAN AVE RM 1101
City:LOS ANGELES
State:CA
Zip:90095-1772
County:LOS ANGELES
Actions:No
NumberNameTypeStatus
45619WONG STEVEN LUNGREGISTERED PHARMACISTCLEAR

Comments