LEAH MICHELE GOLDBERG Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164006626

License Status

NOT RENEWED

Business

First Name

LEAH

Middle

MICHELE

Last Name

GOLDBERG

Business Name

LEAH MICHELE GOLDBERG

Original Issue Date

10/09/2015

Effective Date

10/09/2015

Expiration Date

10/31/2017

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/04/2018