TRACY LYNN BURCH - Dietitian and Nutritionist License in Illinois | # 164003177

TRACY LYNN BURCH

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164003177

License Status

NOT RENEWED

Business

N

First Name

TRACY

Middle

LYNN

Last Name

BURCH

Business Name

TRACY LYNN BURCH

Original Issue Date

03/09/1999

Effective Date

10/21/2003

Expiration Date

10/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

12/22/2005