GAYLE EILEEN BIVENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049282998

License Status

NOT RENEWED

Business

First Name

GAYLE

Middle

EILEEN

Last Name

BIVENS

Business Name

GAYLE EILEEN BIVENS

Original Issue Date

06/09/2021

Effective Date

02/19/2023

Expiration Date

03/31/2024

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/03/2025