SELENE BIVANCO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049187994

License Status

NOT RENEWED

Business

First Name

SELENE

Last Name

BIVANCO

Business Name

SELENE BIVANCO

Original Issue Date

10/27/2008

Effective Date

03/31/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010