Amanda Rae Bivens
ExpiredIllinois license 049264814
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049264814
- Status
- Expired (Not Renewed)
- First issued
- April 22, 2019
- Expired
- May 31, 2022
- License holder
- Amanda Rae Bivens
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 10/29/2021
Contact
Decatur, IL 62526
Macon County