ELLEN KATHRYN LONG Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164022505

License Status

ACTIVE

Business

First Name

ELLEN

Middle

KATHRYN

Last Name

LONG

Business Name

ELLEN KATHRYN LONG

Original Issue Date

07/18/2025

Effective Date

11/01/2025

Expiration Date

10/31/2027

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/22/2025