SUSAN LYNNE WALTRIP Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164005269

License Status

ACTIVE

Business

First Name

SUSAN

Middle

LYNNE

Last Name

WALTRIP

Business Name

SUSAN LYNNE WALTRIP

Original Issue Date

04/30/2010

Effective Date

08/06/2025

Expiration Date

10/31/2027

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

08/06/2025