SHANA MARIE DOUGLAS Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164023501

License Status

ACTIVE

Business

First Name

SHANA

Middle

MARIE

Last Name

DOUGLAS

Business Name

SHANA MARIE DOUGLAS

Original Issue Date

01/28/2026

Effective Date

01/28/2026

Expiration Date

10/31/2027

City

CLINTON

State

Zip

61727

County

DE WITT

Ever Disciplined

LastModifiedDate

01/29/2026