JACKIE R NICKSON - Dietitian and Nutritionist License in Illinois | # 164002134

JACKIE R NICKSON

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164002134

License Status

NOT RENEWED

Business

N

First Name

JACKIE R

Last Name

NICKSON

Business Name

JACKIE R NICKSON

Original Issue Date

01/22/1996

Expiration Date

10/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

07/28/2005