Daniel Jietjan Trisno
ActiveCalifornia license 86719
License
- Licensed by
- California State Board of Pharmacy
- License number
- 86719
- Status
- Active
- First issued
- August 31, 2022
- Expires
- December 31, 2027
- License holder
- Daniel Jietjan Trisno
- Entity type
- Individual
Classifications
- Registered Pharmacist Pharmacy
More from the license record
- License type code
- RPH
- School
- University Of Maryland
- Year graduated
- 2022
- Degree
- Pharm/d Or Dr. Of Pharmacy
Contact
34240 Torrey Pine Ln
Union City, CA 94587
Union City, CA 94587
Alameda County