PATRICIA M BRODERICK - Dietitian and Nutritionist License in Illinois | # 164002302

PATRICIA M BRODERICK

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164002302

License Status

NOT RENEWED

Business

N

First Name

PATRICIA M

Last Name

BRODERICK

Business Name

PATRICIA M BRODERICK

Original Issue Date

02/21/1996

Effective Date

08/08/2019

Expiration Date

02/28/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022