KELLY ANNE EIDEN Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164002740

License Status

NOT RENEWED

Business

First Name

KELLY ANNE

Last Name

EIDEN

Business Name

KELLY ANNE EIDEN

Original Issue Date

10/13/1996

Effective Date

10/08/2015

Expiration Date

10/31/2017

City

EVANSTON

State

Zip

60203

County

COOK

Ever Disciplined

LastModifiedDate

01/04/2018