DOUGLAS A LACY - Dietitian and Nutritionist License in Illinois | # 165000161

DOUGLAS A LACY

Business Entity

CANCELLED

License Type

Dietitian and Nutritionist

Description

LICENSED NUTRITION COUNSELOR

License Number

165000161

License Status

CANCELLED

Business

N

First Name

DOUGLAS

Middle

A

Last Name

LACY

Business Name

DOUGLAS A LACY

Original Issue Date

03/12/1996

Effective Date

02/20/2004

Expiration Date

10/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

07/29/2005