THERESA ANN BOOMER IDPR Registered License verification

Business Entity

NOT RENEWED

License Type

IDPR Registered

Description

GENETIC COUNSELOR

License Number

246000083

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

ANN

Last Name

BOOMER

Business Name

THERESA ANN BOOMER

Original Issue Date

02/01/2010

Effective Date

12/21/2010

Expiration Date

01/31/2013

City

CLANCY

State

Zip

59634

County

MONTANA

Ever Disciplined

LastModifiedDate

03/20/2013