ROBIN LYNNE BIVENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128648

License Status

NOT RENEWED

Business

First Name

ROBIN

Middle

LYNNE

Last Name

BIVENS

Business Name

ROBIN LYNNE BIVENS

Original Issue Date

12/16/1999

Effective Date

12/16/1999

Expiration Date

03/31/2002

City

MILAN

State

Zip

61264

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

12/06/2005