PATRICIA A BASTA Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164002470

License Status

ACTIVE

Business

First Name

PATRICIA A

Last Name

BASTA

Business Name

PATRICIA A BASTA

Original Issue Date

03/06/1996

Effective Date

10/10/2025

Expiration Date

10/31/2027

City

BLUE ISLAND

State

Zip

60406

County

COOK

Ever Disciplined

LastModifiedDate

10/10/2025