ANGELA CATHERINE LOLLOCK Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164008269

License Status

ACTIVE

Business

First Name

ANGELA

Middle

CATHERINE

Last Name

LOLLOCK

Business Name

ANGELA CATHERINE LOLLOCK

Original Issue Date

01/16/2021

Effective Date

09/02/2025

Expiration Date

10/31/2027

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

09/02/2025