RICHARD RUSSELL POWIS - Pharmacist License in Indiana | # 051035249

RICHARD RUSSELL POWIS

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051035249

License Status

INACTIVE

Business

N

First Name

RICHARD RUSSELL

Last Name

POWIS

Business Name

RICHARD RUSSELL POWIS

Original Issue Date

05/17/1984

Effective Date

05/17/1984

Expiration Date

03/31/1992

State

IN

Ever Disciplined

N

LastModifiedDate

10/17/2005