AVALON FORSYTHE MUSTAFA Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164007129

License Status

ACTIVE

Business

First Name

AVALON

Last Name

FORSYTHE MUSTAFA

Business Name

AVALON FORSYTHE MUSTAFA

Original Issue Date

05/08/2017

Effective Date

08/22/2025

Expiration Date

10/31/2027

City

HOFFMAN ESTATES

State

Zip

60169

County

COOK

Ever Disciplined

LastModifiedDate

08/22/2025