KELLEY E BAUMANN Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164003157

License Status

NOT RENEWED

Business

First Name

KELLEY

Middle

Last Name

BAUMANN

Business Name

KELLEY E BAUMANN

Original Issue Date

02/17/1999

Effective Date

10/02/2003

Expiration Date

10/31/2005

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Ever Disciplined

LastModifiedDate

12/22/2005