COURTNEY BLAKE BOURBON Dietitian and Nutritionist License verification

Business Entity

INACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164004517

License Status

INACTIVE

Business

First Name

COURTNEY

Middle

BLAKE

Last Name

BOURBON

Business Name

COURTNEY BLAKE BOURBON

Original Issue Date

05/19/2006

Effective Date

10/24/2013

Expiration Date

10/31/2015

City

CAPE GIRARDEAU

State

Zip

63701

County

MISSOURI

Ever Disciplined

LastModifiedDate

08/05/2015