KENNETH WILLIAM IRLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029182

License Status

NOT RENEWED

Business

First Name

KENNETH WILLIAM

Last Name

IRLE

Business Name

KENNETH WILLIAM IRLE

Original Issue Date

08/05/1972

Effective Date

01/11/2010

Expiration Date

03/31/2012

City

HAGERMAN

State

Zip

83332

County

IDAHO

Ever Disciplined

LastModifiedDate

05/07/2012