License holder summary

Blake, Amanda Marie is a Dietitian licensed to practice in Missouri. The address on file for Blake, Amanda Marie is 7 Bryan Ave. , Poplar Bluff 63901. This licensed professional license is current. The license was granted 10/13/2011 and expired on 04/01/2014.

Missouri

Division of Professional Registration

Blake, Amanda Marie
Dietitian
License number
2011034502  
Date granted
10/13/2011
Date expires
04/01/2014
Class
Dietitian
Status
Clear
Address
7 Bryan Ave. 
licensingmissouri.org
ID 1168670
LAST UPDATED 2021-05-30 02:21:15 UTC

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