DOMINIQUE PATRICE MOORE Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164003185

License Status

NOT RENEWED

Business

First Name

DOMINIQUE

Middle

PATRICE

Last Name

MOORE

Business Name

DOMINIQUE PATRICE MOORE

Original Issue Date

03/15/1999

Effective Date

12/10/2003

Expiration Date

10/31/2003

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005