JACLYN M BOOTH Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164003950

License Status

NOT RENEWED

Business

First Name

JACLYN

Middle

Last Name

BOOTH

Business Name

JACLYN M BOOTH

Original Issue Date

09/10/2003

Effective Date

12/06/2005

Expiration Date

10/31/2007

City

FORT WORTH

State

Zip

76109

Ever Disciplined

LastModifiedDate

12/05/2007