ANDREW JACOB ANTHONY Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164010794

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

JACOB

Last Name

ANTHONY

Business Name

ANDREW JACOB ANTHONY

Original Issue Date

07/18/2024

Effective Date

07/18/2024

Expiration Date

10/31/2025

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/04/2026