SUSAN M LARSON Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164001395

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

LARSON

Business Name

SUSAN M LARSON

Original Issue Date

12/20/1995

Effective Date

12/10/2003

Expiration Date

10/31/2003

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

09/11/2005