AMANDA TATLOCK NASCIMENTO IDPR Registered License verification

Business Entity

NOT RENEWED

License Type

IDPR Registered

Description

GENETIC COUNSELOR

License Number

246000177

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

TATLOCK

Last Name

NASCIMENTO

Business Name

AMANDA TATLOCK NASCIMENTO

Original Issue Date

05/27/2014

Effective Date

12/08/2016

Expiration Date

01/31/2019

City

NORTHBOROUGH

State

Zip

01532

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

03/28/2019