ELIZABETH ANN BLASZCZAK Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164006434

License Status

ACTIVE

Business

First Name

ELIZABETH

Middle

ANN

Last Name

BLASZCZAK

Business Name

ELIZABETH ANN BLASZCZAK

Original Issue Date

03/16/2015

Effective Date

08/04/2025

Expiration Date

10/31/2027

City

MANTENO

State

Zip

60950

County

KANKAKEE

Ever Disciplined

LastModifiedDate

08/07/2025