TARYN A DECICCO Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED NUTRITION COUNSELOR

License Number

165000272

License Status

NOT RENEWED

Business

First Name

TARYN

Middle

Last Name

DECICCO

Business Name

TARYN A DECICCO

Original Issue Date

01/15/1999

Effective Date

12/10/2003

Expiration Date

10/31/2003

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Ever Disciplined

LastModifiedDate

07/29/2005