EDWINA J JACKSON - Dietitian and Nutritionist License in Illinois | # 164002909

EDWINA J JACKSON

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164002909

License Status

NOT RENEWED

Business

N

First Name

EDWINA J

Last Name

JACKSON

Business Name

EDWINA J JACKSON

Original Issue Date

11/05/1997

Expiration Date

10/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

07/28/2005