WILLIAM PIRATE MADSEN - Pharmacist License in Idaho | # 051028246

WILLIAM PIRATE MADSEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051028246

License Status

NOT RENEWED

Business

N

First Name

WILLIAM PIRATE

Last Name

MADSEN

Business Name

WILLIAM PIRATE MADSEN

Original Issue Date

01/01/1997

Effective Date

01/31/2012

Expiration Date

03/31/2014

State

ID

Ever Disciplined

N

LastModifiedDate

05/06/2014