REBECCA ANNE WALLER Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164004536

License Status

ACTIVE

Business

First Name

REBECCA

Middle

ANNE

Last Name

WALLER

Business Name

REBECCA ANNE WALLER

Original Issue Date

07/03/2006

Effective Date

08/05/2025

Expiration Date

10/31/2027

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

08/05/2025