ANTHONY J UMBDENSTOCK JR Dietitian and Nutritionist License verification

Business Entity

CANCELLED

License Type

Dietitian and Nutritionist

Description

LICENSED NUTRITION COUNSELOR

License Number

165000212

License Status

CANCELLED

Business

First Name

ANTHONY

Middle

Last Name

UMBDENSTOCK

Suffix

Business Name

ANTHONY J UMBDENSTOCK JR

Original Issue Date

06/27/1996

Effective Date

12/10/2003

Expiration Date

10/31/2003

City

HANOVER PARK

State

Zip

60133

County

COOK

Ever Disciplined

LastModifiedDate

07/29/2005