THEODORE JON PERILLO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063203

License Status

NOT RENEWED

Business

First Name

THEODORE JON

Last Name

PERILLO

Business Name

THEODORE JON PERILLO

Original Issue Date

03/28/1975

Effective Date

03/28/1975

Expiration Date

01/01/1997

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

10/17/2005