JODY RENEE LONG - Dietitian and Nutritionist License in Arizona | # 164003401

JODY RENEE LONG

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164003401

License Status

NOT RENEWED

Business

N

First Name

JODY

Middle

RENEE

Last Name

LONG

Business Name

JODY RENEE LONG

Original Issue Date

06/06/2000

Effective Date

12/03/2001

Expiration Date

10/31/2001

State

AZ

Ever Disciplined

N

LastModifiedDate

09/11/2005