STEPHEN LEE ROTH - Dietitian and Nutritionist License in Illinois | # 164003587

STEPHEN LEE ROTH

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164003587

License Status

NOT RENEWED

Business

N

First Name

STEPHEN

Middle

LEE

Last Name

ROTH

Business Name

STEPHEN LEE ROTH

Original Issue Date

08/14/2001

Effective Date

10/09/2019

Expiration Date

02/28/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022