CONNIE R IVANAUSKI Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164001646

License Status

NOT RENEWED

Business

First Name

CONNIE

Middle

Last Name

IVANAUSKI

Business Name

CONNIE R IVANAUSKI

Original Issue Date

01/09/1996

Effective Date

12/03/2001

Expiration Date

10/31/2001

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

09/11/2005