DALE RICHARD BROCKMAN - Funeral Director and Embalmer License in Indiana | # 034015418

DALE RICHARD BROCKMAN

Business Entity

INACTIVE

License Type

Funeral Director and Embalmer

Description

LICENSED FUNERAL DIRECTOR AND EMBALMER

License Number

034015418

License Status

INACTIVE

Business

N

First Name

DALE

Middle

RICHARD

Last Name

BROCKMAN

Business Name

DALE RICHARD BROCKMAN

Original Issue Date

09/24/1998

Effective Date

09/24/1998

Expiration Date

05/31/2003

State

IN

Ever Disciplined

N

LastModifiedDate

05/30/2006