PEGGY ANN JACKSON Dietitian and Nutritionist License verification

Business Entity

INACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164000520

License Status

INACTIVE

Business

First Name

PEGGY ANN

Last Name

JACKSON

Business Name

PEGGY ANN JACKSON

Original Issue Date

10/18/1995

Expiration Date

10/31/1999

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/28/2005