License holder summary

JERRY RUSSELL BROCKSMITH is a Controlled Substance Registration - Veterinarian licensed to practice in Indiana. The address on file for JERRY RUSSELL BROCKSMITH is 613 NORTH MAIN ST PO BOX 128, BICKNELL IN 47512. This licensed professional license is not current. The license was granted 04/30/1986 and expired on 10/15/2009.

Indiana

Professional Licensing Agency

JERRY RUSSELL BROCKSMITH
Controlled Substance Registration - Veterinarian
License number
24003012B
Date granted
04/30/1986
Date expires
10/15/2009
Class
Controlled Substance Registration - Veterinarian
Status
Expired
Address
613 NORTH MAIN ST PO BOX 128, BICKNELL IN 47512
indianalicensing.org
ID 8637996
LAST UPDATED 2024-04-10 16:14:51 UTC

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