AMANDA RAE BIVENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049264814

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

RAE

Last Name

BIVENS

Business Name

AMANDA RAE BIVENS

Original Issue Date

04/22/2019

Effective Date

10/29/2021

Expiration Date

05/31/2022

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

07/27/2022