JULIE ANNE BIVINS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152825

License Status

NOT RENEWED

Business

First Name

JULIE

Middle

ANNE

Last Name

BIVINS

Business Name

JULIE ANNE BIVINS

Original Issue Date

01/12/2004

Effective Date

01/12/2004

Expiration Date

03/31/2005

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

10/20/2005