GEORGIA WILHELMINA BLAHA Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164000667

License Status

NOT RENEWED

Business

First Name

GEORGIA

Middle

WILHELMINA

Last Name

BLAHA

Business Name

GEORGIA WILHELMINA BLAHA

Original Issue Date

10/26/1995

Effective Date

10/15/2019

Expiration Date

02/28/2022

City

CHICAGO RIDGE

State

Zip

60415

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/27/2022