ANGELICA MARIE ANSELM Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164006681

License Status

NOT RENEWED

Business

First Name

ANGELICA

Middle

MARIE

Last Name

ANSELM

Business Name

ANGELICA MARIE ANSELM

Original Issue Date

12/02/2015

Effective Date

08/11/2017

Expiration Date

10/31/2019

City

RENSSELAER

State

Zip

47978

County

INDIANA

Ever Disciplined

LastModifiedDate

01/23/2020