MARCIA KARIN WAGNER Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164002797

License Status

NOT RENEWED

Business

First Name

MARCIA KARIN

Last Name

WAGNER

Business Name

MARCIA KARIN WAGNER

Original Issue Date

03/01/1997

Effective Date

11/01/2005

Expiration Date

10/31/2007

City

GRANDVIEW

State

Zip

98930

County

WASHINGTON STATE

Ever Disciplined

LastModifiedDate

12/05/2007