REBECCA L SHORT Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164001316

License Status

ACTIVE

Business

First Name

REBECCA L

Last Name

SHORT

Business Name

REBECCA L SHORT

Original Issue Date

12/13/1995

Effective Date

10/15/2025

Expiration Date

10/31/2027

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/15/2025