LISA J GRADLE Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164001584

License Status

NOT RENEWED

Business

First Name

LISA J

Last Name

GRADLE

Business Name

LISA J GRADLE

Original Issue Date

01/03/1996

Effective Date

01/26/2022

Expiration Date

10/31/2023

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

01/08/2025