License holder summary

Bouchard, Timothy E is a Dietitian licensed to practice in Missouri. The address on file for Bouchard, Timothy E is 42750 Shaler Street  20152. This licensed professional license is current. The license was granted 07/25/2005 and expired on 04/01/2014.

Missouri

Division of Professional Registration

Bouchard, Timothy E
Dietitian
License number
2005023122  
Date granted
07/25/2005
Date expires
04/01/2014
Class
Dietitian
Status
Clear
Address
42750 Shaler Street 
licensingmissouri.org
ID 1168779
LAST UPDATED 2021-05-28 07:17:07 UTC

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