TIMOTHY EDMUND BOUCHARD Dietitian and Nutritionist License verification

Business Entity

INACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164004870

License Status

INACTIVE

Business

First Name

TIMOTHY

Middle

EDMUND

Last Name

BOUCHARD

Business Name

TIMOTHY EDMUND BOUCHARD

Original Issue Date

04/02/2008

Effective Date

10/31/2011

Expiration Date

10/31/2013

City

CHANTILLY

State

Zip

20152

Ever Disciplined

LastModifiedDate

08/07/2013