Licensee Name:AIR LIQUIDE HEALTHCARE AMERICA CORP
License Type:WHOLESALERS
License Number:4700
License Status:CLEAR Definition
Expiration Date:September 01, 2015
Issue Date:September 19, 2005
Address:3703 S BAGLEY AVE
City:FRESNO
State:CA
Zip:93725
County:FRESNO
Actions:No
NumberNameTypeStatus
18006FUNKHOUSER DEAN ADESIGNATED REPRESENTATIVECLEAR

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