BRIAN LEE BUCKWHEAT - Dietitian and Nutritionist License in Illinois | # 164002669

BRIAN LEE BUCKWHEAT

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164002669

License Status

NOT RENEWED

Business

N

First Name

BRIAN LEE

Last Name

BUCKWHEAT

Business Name

BRIAN LEE BUCKWHEAT

Original Issue Date

07/24/1996

Effective Date

12/10/2003

Expiration Date

10/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005