ANJANETTE M PUCKETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094992

License Status

NOT RENEWED

Business

First Name

ANJANETTE M

Last Name

PUCKETT

Business Name

ANJANETTE M PUCKETT

Original Issue Date

11/03/1990

Effective Date

11/03/1990

Expiration Date

03/31/1997

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005