BRANDON J SUSA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049243465

License Status

NOT RENEWED

Business

First Name

BRANDON

Middle

Last Name

SUSA

Business Name

BRANDON J SUSA

Original Issue Date

07/22/2016

Effective Date

01/27/2020

Expiration Date

03/31/2021

City

ALBUQUERQUE

State

Zip

87109

Ever Disciplined

LastModifiedDate

07/20/2021