JULIE M BIVENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117684

License Status

NOT RENEWED

Business

First Name

JULIE

Middle

Last Name

BIVENS

Business Name

JULIE M BIVENS

Original Issue Date

05/23/1997

Effective Date

05/23/1997

Expiration Date

03/31/2001

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

10/21/2005