Licensee Name:GULF SOUTH MEDICAL SUPPLY INC
License Type:WHOLESALERS
License Number:4608
License Status:CANCELLED Definition
Expiration Date:September 01, 2013
Issue Date:September 01, 2005
Address:2151 S PROFORMA AVE #B
City:ONTARIO
State:CA
Zip:91761
County:SAN BERNARDINO
Actions:No
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