COLLEEN MARIE STAUFFER Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164006188

License Status

NOT RENEWED

Business

First Name

COLLEEN

Middle

MARIE

Last Name

STAUFFER

Business Name

COLLEEN MARIE STAUFFER

Original Issue Date

05/07/2014

Effective Date

05/07/2014

Expiration Date

10/31/2015

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/09/2015