STEPHANIE MARIE SHAW - Dietitian and Nutritionist License in Illinois | # 164007881

STEPHANIE MARIE SHAW

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164007881

License Status

NOT RENEWED

Business

N

First Name

STEPHANIE

Middle

MARIE

Last Name

SHAW

Business Name

STEPHANIE MARIE SHAW

Original Issue Date

11/06/2019

Effective Date

11/06/2019

Expiration Date

02/28/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022