EDYE L WAGNER Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164000949

License Status

ACTIVE

Business

First Name

EDYE L

Last Name

WAGNER

Business Name

EDYE L WAGNER

Original Issue Date

11/28/1995

Effective Date

08/09/2025

Expiration Date

10/31/2027

City

CHICAGO

State

Zip

60611

County

LAKE

Ever Disciplined

LastModifiedDate

08/09/2025