MAXINE DIANE MANQUEN Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164005336

License Status

ACTIVE

Business

First Name

MAXINE

Middle

DIANE

Last Name

MANQUEN

Business Name

MAXINE DIANE MANQUEN

Original Issue Date

09/17/2010

Effective Date

10/01/2025

Expiration Date

10/31/2027

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/01/2025