SHIRLEY FAN - Dietitian and Nutritionist License in Illinois | # 164005057

SHIRLEY FAN

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164005057

License Status

NOT RENEWED

Business

N

First Name

SHIRLEY

Last Name

FAN

Business Name

SHIRLEY FAN

Original Issue Date

03/12/2009

Effective Date

09/08/2011

Expiration Date

10/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

12/10/2013