CARRIE M RUSSELL Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164001112

License Status

NOT RENEWED

Business

First Name

CARRIE M

Last Name

RUSSELL

Business Name

CARRIE M RUSSELL

Original Issue Date

12/06/1995

Effective Date

12/03/2001

Expiration Date

10/31/2001

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/11/2005