RICHARD M BROCKHAUS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029087

License Status

NOT RENEWED

Business

First Name

RICHARD M

Last Name

BROCKHAUS

Business Name

RICHARD M BROCKHAUS

Original Issue Date

03/10/1972

Effective Date

03/10/1972

Expiration Date

03/31/1988

City

INDIANAPOLIS

State

Zip

46205

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005