SHANA MARIE DOUGLAS - Dietitian and Nutritionist License in Illinois | # 164023501

SHANA MARIE DOUGLAS

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164023501

License Status

ACTIVE

Business

N

First Name

SHANA

Middle

MARIE

Last Name

DOUGLAS

Business Name

SHANA MARIE DOUGLAS

Original Issue Date

01/28/2026

Effective Date

01/28/2026

Expiration Date

10/31/2027

State

IL

Ever Disciplined

N

LastModifiedDate

01/29/2026