KATHLEEN A BORNCAMP Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164001372

License Status

NOT RENEWED

Business

First Name

KATHLEEN A

Last Name

BORNCAMP

Business Name

KATHLEEN A BORNCAMP

Original Issue Date

12/18/1995

Effective Date

11/18/2003

Expiration Date

10/31/2005

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

12/22/2005