VERNA E BERGSTROM Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164001163

License Status

NOT RENEWED

Business

First Name

VERNA E

Last Name

BERGSTROM

Business Name

VERNA E BERGSTROM

Original Issue Date

12/06/1995

Effective Date

09/22/2009

Expiration Date

10/31/2011

City

ALPHA

State

Zip

61413

County

HENRY

Ever Disciplined

LastModifiedDate

02/17/2012