KELLY SUE BRANHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049075440

License Status

NOT RENEWED

Business

First Name

KELLY SUE

Last Name

BRANHAM

Business Name

KELLY SUE BRANHAM

Original Issue Date

10/09/1981

Effective Date

10/09/1981

Expiration Date

03/31/1984

City

FREEBURG

State

Zip

62243

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005