TAMARA KAROSANIDZE Dietitian and Nutritionist License verification

Business Entity

INACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164004590

License Status

INACTIVE

Business

First Name

TAMARA

Last Name

KAROSANIDZE

Business Name

TAMARA KAROSANIDZE

Original Issue Date

10/17/2006

Effective Date

10/17/2006

Expiration Date

10/31/2007

City

CHARLOTTESVILLE

State

Zip

22901

Ever Disciplined

LastModifiedDate

08/07/2007