TARA A LORD Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164005750

License Status

NOT RENEWED

Business

First Name

TARA

Middle

Last Name

LORD

Business Name

TARA A LORD

Original Issue Date

08/06/2012

Effective Date

09/16/2013

Expiration Date

10/31/2015

City

APPLETON

State

Zip

54914

Ever Disciplined

LastModifiedDate

12/09/2015