MARYALICE CRUZ Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164002008

License Status

NOT RENEWED

Business

First Name

MARYALICE

Last Name

CRUZ

Business Name

MARYALICE CRUZ

Original Issue Date

01/17/1996

Effective Date

10/22/2003

Expiration Date

10/31/2005

City

ST LOUIS

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

12/22/2005