CYNTHIA D BRANCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049083758

License Status

NOT RENEWED

Business

First Name

CYNTHIA D

Last Name

BRANCH

Business Name

CYNTHIA D BRANCH

Original Issue Date

01/29/1987

Effective Date

01/29/1987

Expiration Date

03/31/2004

City

PATOKA

State

Zip

62875

County

MARION

Ever Disciplined

LastModifiedDate

10/17/2005

Case Number

2003004678

Action

Revocation

Discipline Start Date

05/24/2005

Discipline Reason

CONVICTED OF FELONY UNLAWFUL POSSESSION OF CONTROLLED SUBSTANCE.