JILL EISENBARTH Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164002905

License Status

NOT RENEWED

Business

First Name

JILL

Last Name

EISENBARTH

Business Name

JILL EISENBARTH

Original Issue Date

11/04/1997

Effective Date

12/10/2003

Expiration Date

10/31/2003

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

09/11/2005