EILEEN A REVILLA Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164003651

License Status

NOT RENEWED

Business

First Name

EILEEN

Middle

Last Name

REVILLA

Business Name

EILEEN A REVILLA

Original Issue Date

01/31/2002

Effective Date

08/25/2009

Expiration Date

10/31/2011

City

ADDISON

State

Zip

60101

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/17/2012