KRISTEN MICHELLE SAMULAK Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164003903

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

MICHELLE

Last Name

SAMULAK

Business Name

KRISTEN MICHELLE SAMULAK

Original Issue Date

04/23/2003

Effective Date

11/14/2003

Expiration Date

10/31/2005

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

12/22/2005