AMY KATHERINE BORK Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164005234

License Status

NOT RENEWED

Business

First Name

AMY

Middle

KATHERINE

Last Name

BORK

Business Name

AMY KATHERINE BORK

Original Issue Date

03/05/2010

Effective Date

03/05/2010

Expiration Date

10/31/2011

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

02/17/2012