SHIVANI B NAZARETH IDPR Registered License verification

Business Entity

NOT RENEWED

License Type

IDPR Registered

Description

GENETIC COUNSELOR

License Number

246000120

License Status

NOT RENEWED

Business

First Name

SHIVANI

Middle

Last Name

NAZARETH

Business Name

SHIVANI B NAZARETH

Original Issue Date

01/06/2012

Effective Date

01/06/2012

Expiration Date

01/31/2013

City

JERSEY CITY

State

Zip

07302

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

03/20/2013