THERESA M DITZLER Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164002478

License Status

NOT RENEWED

Business

First Name

THERESA M

Last Name

DITZLER

Business Name

THERESA M DITZLER

Original Issue Date

03/12/1996

Effective Date

09/23/2003

Expiration Date

10/31/2005

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/22/2005