LISA A ROSE Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164001727

License Status

ACTIVE

Business

First Name

LISA A

Last Name

ROSE

Business Name

LISA A ROSE

Original Issue Date

01/24/1996

Effective Date

10/22/2025

Expiration Date

10/31/2027

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/22/2025