ANN VACULA BOVENKERK Dietitian and Nutritionist License verification

Business Entity

INACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164003441

License Status

INACTIVE

Business

First Name

ANN

Middle

VACULA

Last Name

BOVENKERK

Business Name

ANN VACULA BOVENKERK

Original Issue Date

08/24/2000

Effective Date

09/22/2003

Expiration Date

10/31/2005

City

MADISON HEIGHTS

State

Zip

48071

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/09/2005