JEAN MARIE STORK Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164001950

License Status

NOT RENEWED

Business

First Name

JEAN MARIE

Last Name

STORK

Business Name

JEAN MARIE STORK

Original Issue Date

01/17/1996

Effective Date

11/01/2007

Expiration Date

10/31/2009

City

SMITHVILLE

State

Zip

64089

County

MISSOURI

Ever Disciplined

LastModifiedDate

12/09/2009