PENELOPE G ROTH Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164000964

License Status

NOT RENEWED

Business

First Name

PENELOPE

Middle

Last Name

ROTH

Business Name

PENELOPE G ROTH

Original Issue Date

11/28/1995

Effective Date

08/11/2017

Expiration Date

10/31/2019

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/23/2020