PAIGE NICOLE PHIZACKLEA Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164007239

License Status

NOT RENEWED

Business

First Name

PAIGE

Middle

NICOLE

Last Name

PHIZACKLEA

Business Name

PAIGE NICOLE PHIZACKLEA

Original Issue Date

10/13/2017

Effective Date

02/26/2022

Expiration Date

10/31/2023

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2025