REBECCA A ANTONACCI Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164002929

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

Last Name

ANTONACCI

Business Name

REBECCA A ANTONACCI

Original Issue Date

12/19/1997

Effective Date

01/27/2022

Expiration Date

10/31/2023

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/08/2025