AMY SUSANNE KIESEL Dietitian and Nutritionist License verification

Business Entity

INACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164004973

License Status

INACTIVE

Business

First Name

AMY

Middle

SUSANNE

Last Name

KIESEL

Business Name

AMY SUSANNE KIESEL

Original Issue Date

09/26/2008

Effective Date

01/06/2020

Expiration Date

02/28/2022

City

PEORIA

State

Zip

61612

County

PEORIA

Ever Disciplined

LastModifiedDate

10/31/2021