SUSAN V A MINA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051289381

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

V A

Last Name

MINA

Business Name

SUSAN V A MINA

Original Issue Date

05/12/2003

Effective Date

03/11/2020

Expiration Date

07/31/2022

City

DAVENPORT

State

Zip

52807

County

IOWA

Ever Disciplined

LastModifiedDate

10/14/2022