License holder summary

KOAHA PLACE LLC DBA PACIFIC ISLAND HEALTH is a Controlled Substance - Facility licensed to practice in New Mexico. This licensed professional license is not current. The license was granted 03/21/2005 and expired on 12/31/2005.

New Mexico

Regulation & Licensing Department

KOAHA PLACE LLC DBA PACIFIC ISLAND HEALTH
Controlled Substance - Facility
License number
CS00210584
Date granted
03/21/2005
Date expires
12/31/2005
Class
Controlled Substance - Facility
Status
Expired
licensingnm.com
ID 7600275
LAST UPDATED 2024-05-13 02:53:43 UTC

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