JACKIE R NICKSON Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164002134

License Status

NOT RENEWED

Business

First Name

JACKIE R

Last Name

NICKSON

Business Name

JACKIE R NICKSON

Original Issue Date

01/22/1996

Expiration Date

10/31/1999

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

07/28/2005