TRACIE JANE BOCK Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164006373

License Status

NOT RENEWED

Business

First Name

TRACIE

Middle

JANE

Last Name

BOCK

Business Name

TRACIE JANE BOCK

Original Issue Date

11/24/2014

Effective Date

11/24/2014

Expiration Date

10/31/2015

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/09/2015