CATHY A PUCKETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059628

License Status

NOT RENEWED

Business

First Name

CATHY A

Last Name

PUCKETT

Business Name

CATHY A PUCKETT

Original Issue Date

06/15/1973

Effective Date

04/02/2018

Expiration Date

03/31/2019

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/15/2019