SAMANTHA A MAYNARD Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164003003

License Status

NOT RENEWED

Business

First Name

SAMANTHA A

Last Name

MAYNARD

Business Name

SAMANTHA A MAYNARD

Original Issue Date

04/28/1998

Expiration Date

10/31/1999

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

07/28/2005