KIMBERLY DIANA KONCZAK Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164005008

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

DIANA

Last Name

KONCZAK

Business Name

KIMBERLY DIANA KONCZAK

Original Issue Date

12/02/2008

Effective Date

09/29/2015

Expiration Date

10/31/2017

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

01/04/2018