KENNETH D BIVENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049088303

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005