CAROLYN J DAVIS Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164002598

License Status

NOT RENEWED

Business

First Name

CAROLYN J

Last Name

DAVIS

Business Name

CAROLYN J DAVIS

Original Issue Date

05/02/1996

Effective Date

11/03/2003

Expiration Date

10/31/2005

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

12/22/2005