PENELOPE G ROTH - Dietitian and Nutritionist License in Illinois | # 164000964

PENELOPE G ROTH

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164000964

License Status

NOT RENEWED

Business

N

First Name

PENELOPE

Middle

G

Last Name

ROTH

Business Name

PENELOPE G ROTH

Original Issue Date

11/28/1995

Effective Date

08/11/2017

Expiration Date

10/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

01/23/2020