MARILYN D PUCKETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173688

License Status

NOT RENEWED

Business

First Name

MARILYN

Middle

Last Name

PUCKETT

Business Name

MARILYN D PUCKETT

Original Issue Date

01/17/2007

Effective Date

03/16/2015

Expiration Date

03/31/2016

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016