LATASHA MONIQUE COOK - Pharmacist License in Indiana | # 049126719

LATASHA MONIQUE COOK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126719

License Status

NOT RENEWED

Business

N

First Name

LATASHA

Middle

MONIQUE

Last Name

COOK

Business Name

LATASHA MONIQUE COOK

Original Issue Date

07/20/1999

Effective Date

07/20/1999

Expiration Date

03/31/2000

State

IN

Ever Disciplined

N

LastModifiedDate

10/21/2005