C SUSAN TELLEFSON Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164001627

License Status

NOT RENEWED

Business

First Name

C SUSAN

Last Name

TELLEFSON

Business Name

C SUSAN TELLEFSON

Original Issue Date

01/06/1996

Effective Date

08/07/2013

Expiration Date

10/31/2015

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

12/09/2015