KAREN SUE WALLACE Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164002775

License Status

NOT RENEWED

Business

First Name

KAREN

Middle

SUE

Last Name

WALLACE

Business Name

KAREN SUE WALLACE

Original Issue Date

12/26/1996

Effective Date

10/17/2013

Expiration Date

10/31/2015

City

MARTINSVILLE

State

Zip

62442

County

CLARK

Ever Disciplined

LastModifiedDate

12/09/2015