LIDAR SHOAU - Dietitian and Nutritionist License in Illinois | # 164002500

LIDAR SHOAU

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164002500

License Status

NOT RENEWED

Business

N

First Name

LIDAR

Last Name

SHOAU

Business Name

LIDAR SHOAU

Original Issue Date

03/14/1996

Effective Date

08/20/2019

Expiration Date

02/28/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022