KIMBERLY H MOSSBURG Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164001182

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

MOSSBURG

Business Name

KIMBERLY H MOSSBURG

Original Issue Date

12/07/1995

Effective Date

12/10/2003

Expiration Date

10/31/2003

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

09/11/2005