STACY R ROSEN Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164002301

License Status

NOT RENEWED

Business

First Name

STACY R

Last Name

ROSEN

Business Name

STACY R ROSEN

Original Issue Date

02/21/1996

Expiration Date

10/31/1997

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Ever Disciplined

LastModifiedDate

07/28/2005