MARY ANN LANTIGUA Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164009180

License Status

NOT RENEWED

Business

First Name

MARY ANN

Last Name

LANTIGUA

Business Name

MARY ANN LANTIGUA

Original Issue Date

04/10/2023

Effective Date

11/11/2023

Expiration Date

10/31/2025

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/04/2026