KIMBERLY PATRICI BAXTER Dietitian and Nutritionist License verification

Business Entity

EXPIRED

License Type

Dietitian and Nutritionist

Description

LICENSED NUTRITION COUNSELOR

License Number

165000134

License Status

EXPIRED

Business

First Name

KIMBERLY PATRICI

Last Name

BAXTER

Business Name

KIMBERLY PATRICI BAXTER

Original Issue Date

02/21/1996

Effective Date

12/10/2003

Expiration Date

10/31/2003

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/29/2005