JULIE M BIVENS - Pharmacist License in Illinois | # 049117684

JULIE M BIVENS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117684

License Status

NOT RENEWED

Business

N

First Name

JULIE

Middle

M

Last Name

BIVENS

Business Name

JULIE M BIVENS

Original Issue Date

05/23/1997

Effective Date

05/23/1997

Expiration Date

03/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005