MOIRA R FORD Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164004635

License Status

ACTIVE

Business

First Name

MOIRA

Middle

Last Name

FORD

Business Name

MOIRA R FORD

Original Issue Date

01/05/2007

Effective Date

10/31/2025

Expiration Date

10/31/2027

City

HANOVER PARK

State

Zip

60133

Ever Disciplined

LastModifiedDate

10/31/2025