AMANDA KATHLEEN STEVENS Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164003538

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

KATHLEEN

Last Name

STEVENS

Business Name

AMANDA KATHLEEN STEVENS

Original Issue Date

04/18/2001

Effective Date

09/19/2003

Expiration Date

10/31/2005

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

12/22/2005