CYNTHIA D BIVIN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051286065

License Status

INACTIVE

Business

First Name

CYNTHIA

Middle

Last Name

BIVIN

Business Name

CYNTHIA D BIVIN

Original Issue Date

08/11/1997

Effective Date

05/19/2022

Expiration Date

03/31/2024

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

03/31/2023