Diane Sue Puckett
ExpiredIllinois license 049128958
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049128958
- Status
- Expired (Not Renewed)
- First issued
- January 14, 2000
- Expired
- March 31, 2002
- License holder
- Diane Sue Puckett
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 01/14/2000
Contact
Springfield, IL 62707
Sangamon County