Pennsylvania
Department of State
DEAN VAN GUMHOLD
Pharmacy - Authorization to Administer Injectables
License number
RPI002563
Date granted
08/24/2010
Date expires
09/30/2014
Class
Pharmacy - Authorization to Administer Injectables
Status
Expired
Address
CENTER VALLEY PA 18034
palicensing.org
ID 17050481
LAST UPDATED 2024-03-16 11:28:43 UTC
LAST UPDATED 2024-03-16 11:28:43 UTC
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