LISA DIANE CUNNINGHAM Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164004157

License Status

ACTIVE

Business

First Name

LISA

Middle

DIANE

Last Name

CUNNINGHAM

Business Name

LISA DIANE CUNNINGHAM

Original Issue Date

08/03/2004

Effective Date

08/14/2025

Expiration Date

10/31/2027

City

VIRDEN

State

Zip

62690

County

MACOUPIN

Ever Disciplined

LastModifiedDate

08/14/2025