KAREN MICHELLE WAGNER Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164003509

License Status

NOT RENEWED

Business

First Name

KAREN

Middle

MICHELLE

Last Name

WAGNER

Business Name

KAREN MICHELLE WAGNER

Original Issue Date

02/27/2001

Effective Date

12/14/2004

Expiration Date

10/31/2005

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

12/22/2005