Name

Ruben Manuel Gonzales

Status

EXPIRED

Expiration Date

2014-03-24

Doctor

DL Number

e2651986 *** needs agreement signed

Rec Number

000347757923819 **** vendor drop off

Pain

0

Anxiety

0

Insomnia

0

Appetite

0

Nausea

0

Office

San Bernardino

Entered by

MERK

Date First Visit

2015-01-03 02:48:51