License holder summary

Banach, Mary Therese is a Dietitian licensed to practice in Missouri. The address on file for Banach, Mary Therese is 4274 Shenandoah Ave  63110. This licensed professional license is current. The license was granted 10/01/2009 and expired on 04/01/2014.

Missouri

Division of Professional Registration

Banach, Mary Therese
Dietitian
License number
2009030433  
Date granted
10/01/2009
Date expires
04/01/2014
Class
Dietitian
Status
Clear
Address
4274 Shenandoah Ave 
licensingmissouri.org
ID 1168248
LAST UPDATED 2021-09-02 06:53:17 UTC

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