TABBATHA BLIVEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049209751

License Status

NOT RENEWED

Business

First Name

TABBATHA

Last Name

BLIVEN

Prefix

Business Name

TABBATHA BLIVEN

Original Issue Date

03/15/2012

Effective Date

03/06/2013

Expiration Date

03/31/2014

City

RIVERTON

State

Zip

62561

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2014