COURTNEY BLAKE BOURBON - Dietitian and Nutritionist License in Missouri | # 164004517

COURTNEY BLAKE BOURBON

Business Entity

INACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164004517

License Status

INACTIVE

Business

N

First Name

COURTNEY

Middle

BLAKE

Last Name

BOURBON

Business Name

COURTNEY BLAKE BOURBON

Original Issue Date

05/19/2006

Effective Date

10/24/2013

Expiration Date

10/31/2015

State

MO

Ever Disciplined

N

LastModifiedDate

08/05/2015