STACEY J CRUTCHLEY Dietitian and Nutritionist License verification

Business Entity

INACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164004378

License Status

INACTIVE

Business

First Name

STACEY

Middle

Last Name

CRUTCHLEY

Business Name

STACEY J CRUTCHLEY

Original Issue Date

10/05/2005

Effective Date

10/05/2005

Expiration Date

10/31/2007

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

08/07/2007