SUSAN L EYSENBACH Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164000238

License Status

NOT RENEWED

Business

First Name

SUSAN L

Last Name

EYSENBACH

Business Name

SUSAN L EYSENBACH

Original Issue Date

08/31/1995

Effective Date

08/27/2019

Expiration Date

02/28/2022

City

HOMEWOOD

State

Zip

60430

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022