ANNALYSE THERESE BOUCHER Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164009724

License Status

NOT RENEWED

Business

First Name

ANNALYSE

Middle

THERESE

Last Name

BOUCHER

Business Name

ANNALYSE THERESE BOUCHER

Original Issue Date

01/16/2024

Effective Date

01/16/2024

Expiration Date

10/31/2025

City

HILLSIDE

State

Zip

07205

Ever Disciplined

LastModifiedDate

02/04/2026