JESSICA R BIVIN - Pharmacist License in Illinois | # 049211330

JESSICA R BIVIN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211330

License Status

NOT RENEWED

Business

N

First Name

JESSICA

Middle

R

Last Name

BIVIN

Prefix

MR

Business Name

JESSICA R BIVIN

Original Issue Date

05/27/2012

Effective Date

05/27/2012

Expiration Date

03/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2013