Licensee Name:GUIDED ALLIANCE HEALTHCARE SERVICES, INC
License Type:WHOLESALERS
License Number:4197
License Status:CLEAR Definition
Expiration Date:October 01, 2015
Issue Date:October 22, 2002
Address:24632 SAN JUAN AVE #210
City:DANA POINT
State:CA
Zip:92629
County:ORANGE
Actions:No
NumberNameTypeStatus
16759MCFADDEN TIMOTHY PDESIGNATED REPRESENTATIVECLEAR

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