DIANE J BLAKE Dietitian and Nutritionist License verification

Business Entity

INACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164000952

License Status

INACTIVE

Business

First Name

DIANE J

Last Name

BLAKE

Business Name

DIANE J BLAKE

Original Issue Date

11/28/1995

Expiration Date

10/31/1999

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

07/28/2005