LATASHA MONIQUE COOK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126719

License Status

NOT RENEWED

Business

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

City

CROWN POINT

State

Zip

46307

Ever Disciplined

LastModifiedDate

10/21/2005