License holder summary

TARA JELLISON is a Pharmacist licensed to practice in Indiana. The address on file for TARA JELLISON is FORT WAYNE IN 46845. This licensed professional license is current. The license was granted 03/09/1998 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

TARA JELLISON
Pharmacist
License number
26019460A
Date granted
03/09/1998
Date expires
06/30/2016
Class
Pharmacist
Status
Active
Address
FORT WAYNE IN 46845
indianalicensing.org
ID 8293015
LAST UPDATED 2021-04-08 00:45:41 UTC

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