CARLIENE M BRANCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132469

License Status

NOT RENEWED

Business

First Name

CARLIENE M

Last Name

BRANCH

Business Name

CARLIENE M BRANCH

Original Issue Date

08/31/2000

Effective Date

08/31/2000

Expiration Date

03/31/2005

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005