COLLEEN MARIE DEBOER Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164005209

License Status

ACTIVE

Business

First Name

COLLEEN

Middle

MARIE

Last Name

DEBOER

Business Name

COLLEEN MARIE DEBOER

Original Issue Date

12/29/2009

Effective Date

10/13/2025

Expiration Date

10/31/2027

City

WADSWORTH

State

Zip

60083

County

LAKE

Ever Disciplined

LastModifiedDate

10/13/2025