MICHELLE KATHLEEN SUDDATH - Dietitian and Nutritionist License in Illinois | # 164003600

MICHELLE KATHLEEN SUDDATH

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164003600

License Status

NOT RENEWED

Business

N

First Name

MICHELLE

Middle

KATHLEEN

Last Name

SUDDATH

Business Name

MICHELLE KATHLEEN SUDDATH

Original Issue Date

10/05/2001

Effective Date

10/30/2003

Expiration Date

10/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

12/22/2005