DIANE J BLAKE - Dietitian and Nutritionist License in Illinois | # 164000952

DIANE J BLAKE

Business Entity

INACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164000952

License Status

INACTIVE

Business

N

First Name

DIANE J

Last Name

BLAKE

Business Name

DIANE J BLAKE

Original Issue Date

11/28/1995

Expiration Date

10/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

07/28/2005