CLAIRE KERCKHOFF MADEMANN Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164005675

License Status

NOT RENEWED

Business

First Name

CLAIRE

Middle

KERCKHOFF

Last Name

MADEMANN

Business Name

CLAIRE KERCKHOFF MADEMANN

Original Issue Date

03/13/2012

Effective Date

10/30/2013

Expiration Date

10/31/2015

City

COLORADO SPRINGS

State

Zip

80906

County

COLORADO

Ever Disciplined

LastModifiedDate

12/09/2015