SHIRLEY R SMITH Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164000763

License Status

ACTIVE

Business

First Name

SHIRLEY

Middle

Last Name

SMITH

Business Name

SHIRLEY R SMITH

Original Issue Date

11/07/1995

Effective Date

09/12/2025

Expiration Date

10/31/2027

City

BYRON

State

Zip

61010

County

OGLE

Ever Disciplined

LastModifiedDate

09/12/2025