STACY A ROTH Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164004429

License Status

ACTIVE

Business

First Name

STACY

Middle

Last Name

ROTH

Business Name

STACY A ROTH

Original Issue Date

12/28/2005

Effective Date

08/08/2025

Expiration Date

10/31/2027

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

08/08/2025