LAURA SUSAN ELLIS Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164003884

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

SUSAN

Last Name

ELLIS

Business Name

LAURA SUSAN ELLIS

Original Issue Date

03/12/2003

Effective Date

11/07/2003

Expiration Date

10/31/2005

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

12/22/2005