SHIRA FRAILICH GOLDMAN Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164003961

License Status

NOT RENEWED

Business

First Name

SHIRA

Middle

FRAILICH

Last Name

GOLDMAN

Business Name

SHIRA FRAILICH GOLDMAN

Original Issue Date

10/16/2003

Effective Date

10/16/2003

Expiration Date

10/31/2005

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

12/22/2005