GRACE V LANGE Dietitian and Nutritionist License verification

Business Entity

INACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164004234

License Status

INACTIVE

Business

First Name

GRACE

Middle

Last Name

LANGE

Business Name

GRACE V LANGE

Original Issue Date

11/08/2004

Effective Date

11/08/2004

Expiration Date

10/31/2005

City

NEW KENT

State

Zip

23124

Ever Disciplined

LastModifiedDate

09/09/2005