GRACE BOWMAN SAMPSON Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164006748

License Status

NOT RENEWED

Business

First Name

GRACE

Middle

BOWMAN

Last Name

SAMPSON

Business Name

GRACE BOWMAN SAMPSON

Original Issue Date

02/26/2016

Effective Date

10/11/2017

Expiration Date

10/31/2019

City

PAW PAW

State

Zip

61353

County

LEE

Ever Disciplined

LastModifiedDate

01/23/2020