MIRIAM F EISENBERG Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164002109

License Status

NOT RENEWED

Business

First Name

MIRIAM

Middle

Last Name

EISENBERG

Business Name

MIRIAM F EISENBERG

Original Issue Date

01/20/1996

Effective Date

12/10/2003

Expiration Date

10/31/2003

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

09/11/2005