LISA ANN SHEPHERD Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164003282

License Status

NOT RENEWED

Business

First Name

LISA

Middle

ANN

Last Name

SHEPHERD

Business Name

LISA ANN SHEPHERD

Original Issue Date

12/09/1999

Effective Date

10/06/2003

Expiration Date

10/31/2005

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

12/22/2005