MARY E SULLIVAN Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164002378

License Status

NOT RENEWED

Business

First Name

MARY E

Last Name

SULLIVAN

Business Name

MARY E SULLIVAN

Original Issue Date

02/27/1996

Effective Date

10/31/2019

Expiration Date

02/28/2022

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

07/27/2022