ELLEN M LANGE Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164000216

License Status

NOT RENEWED

Business

First Name

ELLEN M

Last Name

LANGE

Business Name

ELLEN M LANGE

Original Issue Date

08/29/1995

Effective Date

09/26/2013

Expiration Date

10/31/2015

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

12/09/2015