LISA M MICETICH Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164001894

License Status

ACTIVE

Business

First Name

LISA M

Last Name

MICETICH

Business Name

LISA M MICETICH

Original Issue Date

01/13/1996

Effective Date

10/23/2025

Expiration Date

10/31/2027

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/23/2025