ELLEN B ROTH Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164000669

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

Last Name

ROTH

Business Name

ELLEN B ROTH

Original Issue Date

10/26/1995

Effective Date

08/19/2019

Expiration Date

02/28/2022

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/27/2022