NAOMI L BIVINS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179012

License Status

NOT RENEWED

Business

First Name

NAOMI

Middle

Last Name

BIVINS

Prefix

Business Name

NAOMI L BIVINS

Original Issue Date

09/05/2007

Effective Date

03/26/2010

Expiration Date

03/31/2011

City

AVON

State

Zip

61415

County

FULTON

Ever Disciplined

LastModifiedDate

05/12/2011