CONSTANCE M STARK Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164000160

License Status

NOT RENEWED

Business

First Name

CONSTANCE M

Last Name

STARK

Business Name

CONSTANCE M STARK

Original Issue Date

08/17/1995

Effective Date

10/26/2015

Expiration Date

10/31/2017

City

SIDNEY

State

Zip

61877

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/04/2018