JEAN M BOUCHE Dietitian and Nutritionist License verification

Business Entity

INACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164002177

License Status

INACTIVE

Business

First Name

JEAN M

Last Name

BOUCHE

Business Name

JEAN M BOUCHE

Original Issue Date

01/25/1996

Expiration Date

10/31/1997

City

GREEN BAY

State

Zip

54302

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/28/2005