MARLENA C BIVENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199778

License Status

NOT RENEWED

Business

First Name

MARLENA

Middle

Last Name

BIVENS

Business Name

MARLENA C BIVENS

Original Issue Date

08/05/2010

Effective Date

03/12/2019

Expiration Date

09/30/2020

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/08/2021