ELLEN KATHRYN LONG - Dietitian and Nutritionist License in Illinois | # 164022505

ELLEN KATHRYN LONG

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164022505

License Status

ACTIVE

Business

N

First Name

ELLEN

Middle

KATHRYN

Last Name

LONG

Business Name

ELLEN KATHRYN LONG

Original Issue Date

07/18/2025

Effective Date

11/01/2025

Expiration Date

10/31/2027

State

IL

Ever Disciplined

N

LastModifiedDate

10/22/2025