LISSA G BAUWIN Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164001630

License Status

NOT RENEWED

Business

First Name

LISSA G

Last Name

BAUWIN

Business Name

LISSA G BAUWIN

Original Issue Date

01/09/1996

Effective Date

12/10/2003

Expiration Date

10/31/2003

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005