CHRISTINE BETH INGRAM Dietitian and Nutritionist License verification

Business Entity

INACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164003370

License Status

INACTIVE

Business

First Name

CHRISTINE

Middle

BETH

Last Name

INGRAM

Business Name

CHRISTINE BETH INGRAM

Original Issue Date

03/22/2000

Effective Date

09/08/2003

Expiration Date

10/31/2005

City

LOCKPORT

State

Zip

60441

County

WILL

Ever Disciplined

LastModifiedDate

09/09/2005