REBECCA WALLER Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164003524

License Status

NOT RENEWED

Business

First Name

REBECCA

Last Name

WALLER

Business Name

REBECCA WALLER

Original Issue Date

03/29/2001

Effective Date

10/12/2017

Expiration Date

10/31/2019

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

01/23/2020