RICHARD RUSSELL POWIS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051035249

License Status

INACTIVE

Business

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

City

INDIANAPOLIS

State

Zip

46220

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005