CAROL LEE BIVINS - Pharmacist License in Illinois | # 049059627

CAROL LEE BIVINS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059627

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005