KELLY C COUSINS - Dietitian and Nutritionist License in Illinois | # 164005472

KELLY C COUSINS

Business Entity

INACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164005472

License Status

INACTIVE

Business

N

First Name

KELLY

Middle

C

Last Name

COUSINS

Business Name

KELLY C COUSINS

Original Issue Date

05/26/2011

Effective Date

08/31/2017

Expiration Date

10/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

08/03/2019