MEGAN S BUSACKER Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164004405

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

Last Name

BUSACKER

Business Name

MEGAN S BUSACKER

Original Issue Date

11/08/2005

Effective Date

10/18/2019

Expiration Date

02/28/2022

City

HIGHLAND

State

Zip

62249

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

07/27/2022