Pharmacist
PHARMACY TECHNICIAN
049094332
NOT RENEWED
N
STEPHEN J
PUCKETT
STEPHEN J PUCKETT
08/31/1990
08/31/1990
03/31/2000
SPRINGFIELD
IL
62707
SANGAMON
Y
12/08/2009
2009009548
Refuse To Renew
12/08/2009
for having been convicted of an offense requiring sex offender registration.