CARLY R RUSCELLO Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164006864

License Status

NOT RENEWED

Business

First Name

CARLY

Middle

Last Name

RUSCELLO

Business Name

CARLY R RUSCELLO

Original Issue Date

07/11/2016

Effective Date

08/25/2017

Expiration Date

10/31/2019

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/23/2020