WANEEN STOUT Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164002604

License Status

NOT RENEWED

Business

First Name

WANEEN

Last Name

STOUT

Business Name

WANEEN STOUT

Original Issue Date

05/10/1996

Effective Date

10/26/2015

Expiration Date

10/31/2017

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

01/04/2018