MARY E FREDRICK Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164000747

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

FREDRICK

Business Name

MARY E FREDRICK

Original Issue Date

11/07/1995

Effective Date

09/29/2015

Expiration Date

10/31/2017

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

01/04/2018