EILEEN A REVILLA - Dietitian and Nutritionist License in Illinois | # 164003651

EILEEN A REVILLA

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164003651

License Status

NOT RENEWED

Business

N

First Name

EILEEN

Middle

A

Last Name

REVILLA

Business Name

EILEEN A REVILLA

Original Issue Date

01/31/2002

Effective Date

08/25/2009

Expiration Date

10/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

02/17/2012