AMY J LONG - Dietitian and Nutritionist License in Illinois | # 164001515

AMY J LONG

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164001515

License Status

NOT RENEWED

Business

N

First Name

AMY J

Last Name

LONG

Business Name

AMY J LONG

Original Issue Date

12/30/1995

Effective Date

08/28/2019

Expiration Date

02/28/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022