STEPHANIE JAYNE CLUBB Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164003093

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

JAYNE

Last Name

CLUBB

Business Name

STEPHANIE JAYNE CLUBB

Original Issue Date

09/28/1998

Effective Date

12/03/2001

Expiration Date

10/31/2001

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005