AMY J LONG Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164001515

License Status

NOT RENEWED

Business

First Name

AMY J

Last Name

LONG

Business Name

AMY J LONG

Original Issue Date

12/30/1995

Effective Date

08/28/2019

Expiration Date

02/28/2022

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/27/2022