PATRICIA J LIESEN Dietitian and Nutritionist License verification

Business Entity

INACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164001578

License Status

INACTIVE

Business

First Name

PATRICIA J

Last Name

LIESEN

Business Name

PATRICIA J LIESEN

Original Issue Date

01/02/1996

Expiration Date

10/31/1999

City

NEWARK

State

Zip

43055

Ever Disciplined

LastModifiedDate

07/28/2005