PHYLLIS ANN GATEWOOD Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164002904

License Status

NOT RENEWED

Business

First Name

PHYLLIS ANN

Last Name

GATEWOOD

Business Name

PHYLLIS ANN GATEWOOD

Original Issue Date

10/28/1997

Expiration Date

10/31/1999

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

07/28/2005