LIDAR SHOAU Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164002500

License Status

NOT RENEWED

Business

First Name

LIDAR

Last Name

SHOAU

Business Name

LIDAR SHOAU

Original Issue Date

03/14/1996

Effective Date

08/20/2019

Expiration Date

02/28/2022

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022