TERESA MARIE HAISTON Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164003476

License Status

NOT RENEWED

Business

First Name

TERESA

Middle

MARIE

Last Name

HAISTON

Business Name

TERESA MARIE HAISTON

Original Issue Date

11/17/2000

Effective Date

12/10/2003

Expiration Date

10/31/2003

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/11/2005