CAROL LEE BIVINS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059627

License Status

NOT RENEWED

Business

First Name

CAROL LEE

Last Name

BIVINS

Business Name

CAROL LEE BIVINS

Original Issue Date

06/15/1973

Effective Date

06/15/1973

Expiration Date

01/01/1997

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005