Licensee Name:CHAMPION HEALTH SERVICES INC
License Type:WHOLESALERS
License Number:6040
License Status:CLEAR Definition
Expiration Date:November 01, 2015
Issue Date:November 28, 2012
Address:5481 COMMERCIAL DRIVE #B
City:HUNTINGTON BEACH
State:CA
Zip:92649
County:ORANGE
Actions:No
NumberNameTypeStatus
20558HOFFMAN ERIKA MARIEDESIGNATED REPRESENTATIVECLEAR

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