JEANIE LORENE BURKE Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164001719

License Status

NOT RENEWED

Business

First Name

JEANIE

Middle

LORENE

Last Name

BURKE

Business Name

JEANIE LORENE BURKE

Original Issue Date

01/09/1996

Effective Date

09/10/2009

Expiration Date

10/31/2011

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/17/2012