CAMILLA KATHRYN JACOBSEN - Dietitian and Nutritionist License in Illinois | # 164001375

CAMILLA KATHRYN JACOBSEN

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164001375

License Status

NOT RENEWED

Business

N

First Name

CAMILLA KATHRYN

Last Name

JACOBSEN

Business Name

CAMILLA KATHRYN JACOBSEN

Original Issue Date

12/18/1995

Expiration Date

10/31/1997

State

IL

Ever Disciplined

N

LastModifiedDate

07/28/2005