JESSICA R BIVIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211330

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

Last Name

BIVIN

Prefix

Business Name

JESSICA R BIVIN

Original Issue Date

05/27/2012

Effective Date

05/27/2012

Expiration Date

03/31/2013

City

PALMYRA

State

Zip

62674

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/06/2013