KENNETH D BIVENS - Pharmacist License in Illinois | # 049088303

KENNETH D BIVENS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049088303

License Status

NOT RENEWED

Business

N

First Name

KENNETH D

Last Name

BIVENS

Business Name

KENNETH D BIVENS

Original Issue Date

11/18/1988

Effective Date

11/18/1988

Expiration Date

03/31/1995

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005