ADRIEN BOUCHER PACZOSA Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164004509

License Status

NOT RENEWED

Business

First Name

ADRIEN

Middle

BOUCHER

Last Name

PACZOSA

Business Name

ADRIEN BOUCHER PACZOSA

Original Issue Date

04/17/2006

Effective Date

04/17/2006

Expiration Date

10/31/2007

City

CHICAGO

State

Zip

60687

County

COOK

Ever Disciplined

LastModifiedDate

12/05/2007