CYNTHIA D BIVIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116573

License Status

NOT RENEWED

Business

First Name

CYNTHIA

Middle

Last Name

BIVIN

Business Name

CYNTHIA D BIVIN

Original Issue Date

02/27/1997

Effective Date

02/27/1997

Expiration Date

03/31/1998

City

GIRARD

State

Zip

62640

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/17/2005