PHYLLIS H HOUSEWORTH Dietitian and Nutritionist License verification

Business Entity

INACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164002678

License Status

INACTIVE

Business

First Name

PHYLLIS H

Last Name

HOUSEWORTH

Business Name

PHYLLIS H HOUSEWORTH

Original Issue Date

08/13/1996

Effective Date

11/01/2007

Expiration Date

10/31/2009

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

08/05/2009