THEA M BOURIANNE Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164006507

License Status

ACTIVE

Business

First Name

THEA

Middle

Last Name

BOURIANNE

Business Name

THEA M BOURIANNE

Original Issue Date

07/02/2015

Effective Date

08/05/2025

Expiration Date

10/31/2027

City

CHICAGO

State

Zip

60661

County

COOK

Ever Disciplined

LastModifiedDate

08/05/2025