Licensee Name:MEDIQ/PRN LIFE SUPPORT SERVICES INC
License Type:WHOLESALERS
License Number:4065
License Status:CANCELLED Definition
Expiration Date:April 01, 2004
Issue Date:April 04, 2002
Address:830 RIVERSIDE PRKWY
City:W SACRAMENTO
State:CA
Zip:95691
County:YOLO
Actions:No
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