SHIRLEY FAN Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164005057

License Status

NOT RENEWED

Business

First Name

SHIRLEY

Last Name

FAN

Business Name

SHIRLEY FAN

Original Issue Date

03/12/2009

Effective Date

09/08/2011

Expiration Date

10/31/2013

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

12/10/2013