TIFFANY L BIVINS - Pharmacist License in Illinois | # 049267970

TIFFANY L BIVINS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267970

License Status

NOT RENEWED

Business

N

First Name

TIFFANY

Middle

L

Last Name

BIVINS

Business Name

TIFFANY L BIVINS

Original Issue Date

09/20/2019

Effective Date

01/04/2020

Expiration Date

03/31/2021

State

IL

Ever Disciplined

N

LastModifiedDate

07/20/2021