STEPHANIE ANN FAWBUSH Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164007358

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

ANN

Last Name

FAWBUSH

Business Name

STEPHANIE ANN FAWBUSH

Original Issue Date

03/20/2018

Effective Date

10/18/2019

Expiration Date

02/28/2022

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022