REBECCA ANN BLACKBURN Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164003124

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

ANN

Last Name

BLACKBURN

Business Name

REBECCA ANN BLACKBURN

Original Issue Date

12/17/1998

Effective Date

12/03/2001

Expiration Date

10/31/2001

City

MULBERRY

State

Zip

46058

County

INDIANA

Ever Disciplined

LastModifiedDate

09/11/2005