KIMBERLY MARIE OTTER Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164004052

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

MARIE

Last Name

OTTER

Business Name

KIMBERLY MARIE OTTER

Original Issue Date

01/08/2004

Effective Date

11/01/2005

Expiration Date

10/31/2007

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

12/05/2007