SUSAN M GROZIAK Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164001913

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

GROZIAK

Business Name

SUSAN M GROZIAK

Original Issue Date

01/16/1996

Effective Date

12/10/2003

Expiration Date

10/31/2003

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005