TARA M PERILLO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049205200

License Status

NOT RENEWED

Business

First Name

TARA

Middle

Last Name

PERILLO

Prefix

Business Name

TARA M PERILLO

Original Issue Date

07/07/2011

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

TERRE HAUTE

State

Zip

47803

County

INDIANA

Ever Disciplined

LastModifiedDate

07/20/2021