KATHLEEN MARIE FUKUMOTO - Dietitian and Nutritionist License in Illinois | # 164023114

KATHLEEN MARIE FUKUMOTO

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164023114

License Status

ACTIVE

Business

N

First Name

KATHLEEN

Middle

MARIE

Last Name

FUKUMOTO

Business Name

KATHLEEN MARIE FUKUMOTO

Original Issue Date

11/03/2025

Effective Date

11/03/2025

Expiration Date

10/31/2027

State

IL

Ever Disciplined

N

LastModifiedDate

11/04/2025