SUSAN M POTTER Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164002021

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

POTTER

Business Name

SUSAN M POTTER

Original Issue Date

01/17/1996

Expiration Date

10/31/1997

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

07/28/2005