PHYLLIS ANN GATEWOOD - Dietitian and Nutritionist License in Illinois | # 164002904

PHYLLIS ANN GATEWOOD

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164002904

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS ANN

Last Name

GATEWOOD

Business Name

PHYLLIS ANN GATEWOOD

Original Issue Date

10/28/1997

Expiration Date

10/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

07/28/2005