BRIDGET MAUREEN LANE Dietitian and Nutritionist License verification

Business Entity

INACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164003573

License Status

INACTIVE

Business

First Name

BRIDGET

Middle

MAUREEN

Last Name

LANE

Business Name

BRIDGET MAUREEN LANE

Original Issue Date

07/11/2001

Effective Date

09/18/2003

Expiration Date

10/31/2005

City

LAFAYETTE

State

Zip

80026

Ever Disciplined

LastModifiedDate

09/09/2005