THEODORE JON PERILLO - Pharmacist License in Washington | # 051030562

THEODORE JON PERILLO

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030562

License Status

INACTIVE

Business

N

First Name

THEODORE JON

Last Name

PERILLO

Business Name

THEODORE JON PERILLO

Original Issue Date

07/25/1975

Effective Date

01/23/2012

Expiration Date

03/31/2014

State

WA

Ever Disciplined

N

LastModifiedDate

01/09/2014