SUSAN JANE LUBKING Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164003927

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

JANE

Last Name

LUBKING

Business Name

SUSAN JANE LUBKING

Original Issue Date

06/24/2003

Effective Date

10/24/2003

Expiration Date

10/31/2005

City

FORSYTH

State

Zip

62535

County

MACON

Ever Disciplined

LastModifiedDate

12/22/2005