TINA M ANDERSON Dietitian and Nutritionist License verification

Business Entity

INACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164000203

License Status

INACTIVE

Business

First Name

TINA M

Last Name

ANDERSON

Business Name

TINA M ANDERSON

Original Issue Date

08/28/1995

Effective Date

01/21/2022

Expiration Date

10/31/2023

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

08/03/2023