BRANDON J SUSA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051303277

License Status

NOT RENEWED

Business

First Name

BRANDON

Middle

Last Name

SUSA

Business Name

BRANDON J SUSA

Original Issue Date

08/18/2020

Effective Date

03/12/2022

Expiration Date

03/31/2024

City

ALBUQUERQUE

State

Zip

87112

Ever Disciplined

LastModifiedDate

02/05/2025