MARTIN VAN TRIESTE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051034848

License Status

NOT RENEWED

Business

First Name

MARTIN

Last Name

VAN TRIESTE

Business Name

MARTIN VAN TRIESTE

Original Issue Date

08/09/1983

Effective Date

02/13/2014

Expiration Date

03/31/2016

City

PONTE VEDRA BEACH

State

Zip

32082

County

FLORIDA

Ever Disciplined

LastModifiedDate

05/20/2016