ANN M SHIRK Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164002312

License Status

ACTIVE

Business

First Name

ANN M

Last Name

SHIRK

Business Name

ANN M SHIRK

Original Issue Date

02/21/1996

Effective Date

09/17/2025

Expiration Date

10/31/2027

City

ROCKFORD

State

Zip

61108

Ever Disciplined

LastModifiedDate

09/17/2025