CAROLYN S BANNER - Dietitian and Nutritionist License in Illinois | # 164004075

CAROLYN S BANNER

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164004075

License Status

NOT RENEWED

Business

N

First Name

CAROLYN

Middle

S

Last Name

BANNER

Business Name

CAROLYN S BANNER

Original Issue Date

02/11/2004

Effective Date

10/23/2017

Expiration Date

10/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

01/23/2020