SUSAN N MCMULLEN Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164002420

License Status

NOT RENEWED

Business

First Name

SUSAN N

Last Name

MCMULLEN

Business Name

SUSAN N MCMULLEN

Original Issue Date

03/02/1996

Effective Date

10/03/2003

Expiration Date

10/31/2005

City

VILLAGE OF LAKEWOOD

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

12/22/2005