BRENNA R WALLACE Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164007764

License Status

NOT RENEWED

Business

First Name

BRENNA

Middle

Last Name

WALLACE

Business Name

BRENNA R WALLACE

Original Issue Date

07/08/2019

Effective Date

10/04/2019

Expiration Date

02/28/2022

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022