WILLIAM PIRATE MADSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051028246

License Status

NOT RENEWED

Business

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

City

IDAHO FALLS

State

Zip

83404

County

IDAHO

Ever Disciplined

LastModifiedDate

05/06/2014