JULIE ANNE BIVINS - Pharmacist License in Illinois | # 049152825

JULIE ANNE BIVINS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152825

License Status

NOT RENEWED

Business

N

First Name

JULIE

Middle

ANNE

Last Name

BIVINS

Business Name

JULIE ANNE BIVINS

Original Issue Date

01/12/2004

Effective Date

01/12/2004

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005