KAREN A HEINEN RN Dietitian and Nutritionist License verification

Business Entity

CANCELLED

License Type

Dietitian and Nutritionist

Description

LICENSED NUTRITION COUNSELOR

License Number

165000119

License Status

CANCELLED

Business

First Name

KAREN

Middle

Last Name

HEINEN

Suffix

Business Name

KAREN A HEINEN RN

Original Issue Date

01/31/1996

Effective Date

02/20/2004

Expiration Date

10/31/2003

City

EAST DUBUQUE

State

Zip

61025

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

07/29/2005