ROY D PUCKETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049048906

License Status

NOT RENEWED

Business

First Name

ROY D

Last Name

PUCKETT

Business Name

ROY D PUCKETT

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005