TERRI L BLASE IDPR Registered License verification

Business Entity

NOT RENEWED

License Type

IDPR Registered

Description

GENETIC COUNSELOR

License Number

246000014

License Status

NOT RENEWED

Business

First Name

TERRI

Middle

Last Name

BLASE

Business Name

TERRI L BLASE

Original Issue Date

01/22/2008

Effective Date

11/17/2014

Expiration Date

01/31/2017

City

OMAHA

State

Zip

68132

County

NEBRASKA

Ever Disciplined

LastModifiedDate

03/27/2017