GWENDOLYN DAWN PUCHETA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049246956

License Status

NOT RENEWED

Business

First Name

GWENDOLYN

Middle

DAWN

Last Name

PUCHETA

Business Name

GWENDOLYN DAWN PUCHETA

Original Issue Date

12/08/2016

Effective Date

03/20/2017

Expiration Date

03/31/2018

City

COLCHESTER

State

Zip

62326

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

06/19/2018