CARRIE ANN RANCOURT Dietitian and Nutritionist License verification

Business Entity

INACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164002810

License Status

INACTIVE

Business

First Name

CARRIE ANN

Last Name

RANCOURT

Business Name

CARRIE ANN RANCOURT

Original Issue Date

03/11/1997

Effective Date

08/05/2009

Expiration Date

10/31/2011

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

08/03/2011