Name


Richard Sales


Status


**EXPIRED**

Expiration Date


2015-06-12

Doctor


IRONSIDE, Paul A.

DL Number


B4384664

Rec Number


010046326044219

Pain


0

Anxiety


0

Insomnia


0

Appetite


0

Nausea


0

Office


San Bernardino

Entered by


JOE

Date First Visit


2014-09-15 22:56:41