ANN ELIZABETH STEVENS Dietitian and Nutritionist License verification

Business Entity

INACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164002846

License Status

INACTIVE

Business

First Name

ANN ELIZABETH

Last Name

STEVENS

Business Name

ANN ELIZABETH STEVENS

Original Issue Date

05/03/1997

Effective Date

11/14/2003

Expiration Date

10/31/2005

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/09/2005