Dara Diane Puckel
ExpiredIllinois license 049081196
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049081196
- Status
- Expired (Not Renewed)
- First issued
- June 17, 1985
- Expired
- March 31, 1987
- License holder
- Dara Diane Puckel
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 06/17/1985
Contact
Springfield, IL 62702
Sangamon County