STEPHEN J PUCKETT

Business Entity
NOT RENEWED

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.