MARTIN L EVANGELISTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108795

License Status

NOT RENEWED

Business

First Name

MARTIN L

Last Name

EVANGELISTA

Business Name

MARTIN L EVANGELISTA

Original Issue Date

11/10/1994

Effective Date

02/23/2015

Expiration Date

03/31/2016

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

05/20/2016