MALFORD E CULLUM Dietitian and Nutritionist License verification

Business Entity

INACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164002621

License Status

INACTIVE

Business

First Name

MALFORD E

Last Name

CULLUM

Business Name

MALFORD E CULLUM

Original Issue Date

05/23/1996

Effective Date

10/17/2001

Expiration Date

10/31/2001

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

09/11/2005