ANDREA BROOKE STULTS Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164004649

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

BROOKE

Last Name

STULTS

Business Name

ANDREA BROOKE STULTS

Original Issue Date

03/09/2007

Effective Date

03/09/2007

Expiration Date

10/31/2007

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

12/05/2007