STACY A ROTH - Dietitian and Nutritionist License in Illinois | # 164004429

STACY A ROTH

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164004429

License Status

ACTIVE

Business

N

First Name

STACY

Middle

A

Last Name

ROTH

Business Name

STACY A ROTH

Original Issue Date

12/28/2005

Effective Date

08/08/2025

Expiration Date

10/31/2027

State

IL

Ever Disciplined

N

LastModifiedDate

08/08/2025