CAROL J BOUSHEY Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164002506

License Status

NOT RENEWED

Business

First Name

CAROL J

Last Name

BOUSHEY

Business Name

CAROL J BOUSHEY

Original Issue Date

03/16/1996

Effective Date

11/01/2005

Expiration Date

10/31/2007

City

WEST LAFAYETTE

State

Zip

47906

County

INDIANA

Ever Disciplined

LastModifiedDate

12/05/2007