BRONWYN M POLK Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164001095

License Status

NOT RENEWED

Business

First Name

BRONWYN M

Last Name

POLK

Business Name

BRONWYN M POLK

Original Issue Date

12/06/1995

Effective Date

11/10/2003

Expiration Date

10/31/2005

City

OFALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

12/22/2005