ANNE MARIE MIKITA Dietitian and Nutritionist License verification

Business Entity

CANCELLED

License Type

Dietitian and Nutritionist

Description

LICENSED NUTRITION COUNSELOR

License Number

165000231

License Status

CANCELLED

Business

First Name

ANNE

Middle

MARIE

Last Name

MIKITA

Business Name

ANNE MARIE MIKITA

Original Issue Date

08/21/1996

Effective Date

02/20/2004

Expiration Date

10/31/2003

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

07/29/2005