NANCY VIRGINIA BACKEBERG Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164001740

License Status

NOT RENEWED

Business

First Name

NANCY

Middle

VIRGINIA

Last Name

BACKEBERG

Business Name

NANCY VIRGINIA BACKEBERG

Original Issue Date

01/09/1996

Effective Date

09/04/2019

Expiration Date

02/28/2022

City

PECATONICA

State

Zip

61063

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/27/2022