SUSAN R COLLINS Dietitian and Nutritionist License verification

Business Entity

INACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164004108

License Status

INACTIVE

Business

First Name

SUSAN

Middle

Last Name

COLLINS

Business Name

SUSAN R COLLINS

Original Issue Date

03/10/2004

Effective Date

03/10/2004

Expiration Date

10/31/2005

City

BLUFFTON

State

Zip

29910

Ever Disciplined

LastModifiedDate

09/09/2005