SUELLA H HEACOCK - Dietitian and Nutritionist License in Illinois | # 164000635

SUELLA H HEACOCK

Business Entity

INACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164000635

License Status

INACTIVE

Business

N

First Name

SUELLA

Middle

H

Last Name

HEACOCK

Business Name

SUELLA H HEACOCK

Original Issue Date

10/24/1995

Effective Date

08/03/2017

Expiration Date

10/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

08/03/2019