The holder whose full name is Bourn, Tasha Monique,come from Indianapolis IN,hold the Pharmacy Technician license(NO.67012440A) which status is Expired.
| Name | Bourn, Tasha Monique |
|---|---|
| License Number | 67012440A |
| License Type | Pharmacy Technician |
| License Status | Expired |
| City | Indianapolis |
| State | IN |