PHYLLIS M BUTZEN Dietitian and Nutritionist License verification

Business Entity

INACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164001581

License Status

INACTIVE

Business

First Name

PHYLLIS M

Last Name

BUTZEN

Business Name

PHYLLIS M BUTZEN

Original Issue Date

01/02/1996

Effective Date

10/28/2011

Expiration Date

10/31/2013

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

08/07/2013