JODY RENEE LONG Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164003401

License Status

NOT RENEWED

Business

First Name

JODY

Middle

RENEE

Last Name

LONG

Business Name

JODY RENEE LONG

Original Issue Date

06/06/2000

Effective Date

12/03/2001

Expiration Date

10/31/2001

City

MESA

State

Zip

85206

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/11/2005