LISA ANNE LUCZAK Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164008300

License Status

NOT RENEWED

Business

First Name

LISA

Middle

ANNE

Last Name

LUCZAK

Business Name

LISA ANNE LUCZAK

Original Issue Date

02/25/2021

Effective Date

02/25/2021

Expiration Date

02/28/2022

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/27/2022