SUSAN L DECARLO Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164000650

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

DECARLO

Business Name

SUSAN L DECARLO

Original Issue Date

10/25/1995

Effective Date

10/24/2019

Expiration Date

02/28/2022

City

WINDSOR

State

Zip

06095

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

07/27/2022