TIFFANY L BIVINS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267970

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

BIVINS

Business Name

TIFFANY L BIVINS

Original Issue Date

09/20/2019

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

DUPO

State

Zip

62239

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/20/2021