ROSS DANIEL PUCKETT Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167159

License Status

INACTIVE

Business

First Name

ROSS

Middle

DANIEL

Last Name

PUCKETT

Business Name

ROSS DANIEL PUCKETT

Original Issue Date

04/03/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CLINTON

State

Zip

61727

County

DE WITT

Ever Disciplined

LastModifiedDate

01/10/2008