CAROLE SUSAN GAYLORD Dietitian and Nutritionist License verification

Business Entity

INACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164001873

License Status

INACTIVE

Business

First Name

CAROLE SUSAN

Last Name

GAYLORD

Business Name

CAROLE SUSAN GAYLORD

Original Issue Date

01/13/1996

Effective Date

08/27/2001

Expiration Date

10/31/2001

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/11/2005