SUSAN R SHAMBAUGH Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164000114

License Status

NOT RENEWED

Business

First Name

SUSAN R

Last Name

SHAMBAUGH

Business Name

SUSAN R SHAMBAUGH

Original Issue Date

07/19/1995

Effective Date

10/11/2017

Expiration Date

10/31/2019

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

01/23/2020