SUSAN E HART Dietitian and Nutritionist License verification

Business Entity

INACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164001970

License Status

INACTIVE

Business

First Name

SUSAN

Middle

Last Name

HART

Business Name

SUSAN E HART

Original Issue Date

01/17/1996

Effective Date

11/19/2003

Expiration Date

10/31/2005

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

09/09/2005