KELLY MARIE DZWONEK Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164003939

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

MARIE

Last Name

DZWONEK

Business Name

KELLY MARIE DZWONEK

Original Issue Date

08/14/2003

Effective Date

10/19/2015

Expiration Date

10/31/2017

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

01/04/2018