DENNIS EDWIN BEACH Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051027386

License Status

INACTIVE

Business

First Name

DENNIS EDWIN

Last Name

BEACH

Business Name

DENNIS EDWIN BEACH

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

City

VALPARAISO

State

Zip

46383

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005