KELLY DENISE DIAZ Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164005811

License Status

ACTIVE

Business

First Name

KELLY

Middle

DENISE

Last Name

DIAZ

Business Name

KELLY DENISE DIAZ

Original Issue Date

10/25/2012

Effective Date

08/20/2025

Expiration Date

10/31/2027

City

ELMWOOD PARK

State

Zip

60707

County

COOK

Ever Disciplined

LastModifiedDate

08/20/2025