CAMILLA KATHRYN JACOBSEN Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164001375

License Status

NOT RENEWED

Business

First Name

CAMILLA KATHRYN

Last Name

JACOBSEN

Business Name

CAMILLA KATHRYN JACOBSEN

Original Issue Date

12/18/1995

Expiration Date

10/31/1997

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/28/2005