DANA JILL EFAW Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164007030

License Status

NOT RENEWED

Business

First Name

DANA

Middle

JILL

Last Name

EFAW

Business Name

DANA JILL EFAW

Original Issue Date

01/17/2017

Effective Date

10/22/2019

Expiration Date

02/28/2022

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/27/2022