STEPHANIE MARIE SHAW Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164007881

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

MARIE

Last Name

SHAW

Business Name

STEPHANIE MARIE SHAW

Original Issue Date

11/06/2019

Effective Date

11/06/2019

Expiration Date

02/28/2022

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022