LISA ANN BURGOON Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164001811

License Status

ACTIVE

Business

First Name

LISA ANN

Last Name

BURGOON

Business Name

LISA ANN BURGOON

Original Issue Date

01/10/1996

Effective Date

10/30/2025

Expiration Date

10/31/2027

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/30/2025