STACI ANNE BURICH-SIMONIETT Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164003472

License Status

NOT RENEWED

Business

First Name

STACI

Middle

ANNE

Last Name

BURICH-SIMONIETT

Business Name

STACI ANNE BURICH-SIMONIETT

Original Issue Date

11/16/2000

Effective Date

12/03/2001

Expiration Date

10/31/2001

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/11/2005