HEATHER P BAUTISTA Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164006893

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

Last Name

BAUTISTA

Business Name

HEATHER P BAUTISTA

Original Issue Date

08/08/2016

Effective Date

10/05/2023

Expiration Date

10/31/2025

City

ELGIN

State

Zip

60124

County

KANE

Ever Disciplined

LastModifiedDate

02/04/2026