THEODORE JON PERILLO Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030562

License Status

INACTIVE

Business

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

City

WOODINVILLE

State

Zip

98077

County

WASHINGTON STATE

Ever Disciplined

LastModifiedDate

01/09/2014