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Get CA HS 200 2008-2021

Address (number & street): City, State, & Zip: (3) Facility Name: Facility Type: Facility address (number & street): City, State, & Zip: (4) Facility Name: Facility Type: Facility address (number & street): City, State, & Zip: b. If any facility, agency, or clinic identified in 5.a. has had a license revocation action filed, license placed on probation, suspended, or revoked (whether stayed or not) or, for agency or clinic resolved by settlement, receiver appointed, or had a final Medi.

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