IVY M BOUDREAUX Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164003808

License Status

NOT RENEWED

Business

First Name

IVY

Middle

Last Name

BOUDREAUX

Business Name

IVY M BOUDREAUX

Original Issue Date

10/21/2002

Effective Date

11/01/2005

Expiration Date

10/31/2007

City

AURORA

State

Zip

60504

County

KANE

Ever Disciplined

LastModifiedDate

12/05/2007