SUSAN MARIE CHADWICK Dietitian and Nutritionist License verification

Business Entity

INACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164002788

License Status

INACTIVE

Business

First Name

SUSAN

Middle

MARIE

Last Name

CHADWICK

Business Name

SUSAN MARIE CHADWICK

Original Issue Date

02/05/1997

Effective Date

09/29/2003

Expiration Date

10/31/2003

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/11/2005