Licensee Name:UCSC COWELL STUDENT HEALTH CENTER
License Type:RETAIL PHARMACY(FEE EXEMPT) BUSINESS LICENSE
License Number:36033
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:January 17, 1990
Address:STUDENT HEALTH CENTER
1156 HIGH STREET
City:SANTA CRUZ
State:CA
Zip:95064
County:SANTA CRUZ
Actions:No
NumberNameTypeStatus
42349LAMOTTE DIANE MARIEREGISTERED PHARMACISTCLEAR

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