RAYMOND J BROCKSMITH Funeral Director and Embalmer License verification

Business Entity

INACTIVE

License Type

Funeral Director and Embalmer

Description

LICENSED FUNERAL DIRECTOR AND EMBALMER

License Number

034012381

License Status

INACTIVE

Business

First Name

RAYMOND J

Last Name

BROCKSMITH

Business Name

RAYMOND J BROCKSMITH

Original Issue Date

06/01/1991

Effective Date

05/09/2011

Expiration Date

05/31/2013

City

SALEM

State

Zip

47167

County

INDIANA

Ever Disciplined

LastModifiedDate

03/06/2013

Case Number

2012002270

Action

Reprimand

Discipline Start Date

11/14/2013

Discipline Reason

for failure to complete required continuing education for the pre-renewal period of June 1, 2009 to May 31, 2011.