CARRIE ANN MARTIN - Dietitian and Nutritionist License in Illinois | # 164004282

CARRIE ANN MARTIN

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164004282

License Status

NOT RENEWED

Business

N

First Name

CARRIE

Middle

ANN

Last Name

MARTIN

Business Name

CARRIE ANN MARTIN

Original Issue Date

02/22/2005

Effective Date

11/01/2005

Expiration Date

10/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

12/05/2007