Licensee Name:ST JUDE MEDICAL CENTER
License Type:WHOLESALERS
License Number:4030
License Status:DELINQUENT Definition
Expiration Date:November 01, 2011
Issue Date:November 20, 2002
Address:620 N BERRY ST
City:BREA
State:CA
Zip:92821
County:ORANGE
Actions:No
NumberNameTypeStatus
39239WOOTEN PATRICK TIMOTHYREGISTERED PHARMACISTCLEAR

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