MADISON RAY BANAHAN - Dietitian and Nutritionist License in Illinois | # 164009257

MADISON RAY BANAHAN

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164009257

License Status

ACTIVE

Business

N

First Name

MADISON

Middle

RAY

Last Name

BANAHAN

Business Name

MADISON RAY BANAHAN

Original Issue Date

08/21/2023

Effective Date

08/04/2025

Expiration Date

10/31/2027

State

IL

Ever Disciplined

N

LastModifiedDate

08/17/2025