ROBERTA JO DAGENAIS - Dietitian and Nutritionist License in Illinois | # 164003049

ROBERTA JO DAGENAIS

Business Entity

INACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164003049

License Status

INACTIVE

Business

N

First Name

ROBERTA

Middle

JO

Last Name

DAGENAIS

Business Name

ROBERTA JO DAGENAIS

Original Issue Date

08/13/1998

Effective Date

10/23/2015

Expiration Date

10/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

08/03/2017