TAI-SHEN L FAN Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164000892

License Status

NOT RENEWED

Business

First Name

TAI-SHEN L

Last Name

FAN

Business Name

TAI-SHEN L FAN

Original Issue Date

11/21/1995

Effective Date

08/12/2019

Expiration Date

02/28/2022

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022