AMANDA KATHLEEN STEVENS - Dietitian and Nutritionist License in Illinois | # 164003538

AMANDA KATHLEEN STEVENS

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164003538

License Status

NOT RENEWED

Business

N

First Name

AMANDA

Middle

KATHLEEN

Last Name

STEVENS

Business Name

AMANDA KATHLEEN STEVENS

Original Issue Date

04/18/2001

Effective Date

09/19/2003

Expiration Date

10/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

12/22/2005