DONNA L WICKSTROM Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164002330

License Status

NOT RENEWED

Business

First Name

DONNA L

Last Name

WICKSTROM

Business Name

DONNA L WICKSTROM

Original Issue Date

02/22/1996

Effective Date

11/10/2003

Expiration Date

10/31/2005

City

PALATINE

State

Zip

60067

County

COOK

Ever Disciplined

LastModifiedDate

12/22/2005