LISA K BUSHMAN Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164001803

License Status

ACTIVE

Business

First Name

LISA K

Last Name

BUSHMAN

Business Name

LISA K BUSHMAN

Original Issue Date

01/10/1996

Effective Date

10/04/2025

Expiration Date

10/31/2027

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/04/2025