LISA M MICETICH - Dietitian and Nutritionist License in Illinois | # 164001894

LISA M MICETICH

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164001894

License Status

ACTIVE

Business

N

First Name

LISA M

Last Name

MICETICH

Business Name

LISA M MICETICH

Original Issue Date

01/13/1996

Effective Date

10/23/2025

Expiration Date

10/31/2027

State

IL

Ever Disciplined

N

LastModifiedDate

10/23/2025