KELLY KATHLEEN MACKIN Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164003817

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

KATHLEEN

Last Name

MACKIN

Business Name

KELLY KATHLEEN MACKIN

Original Issue Date

11/08/2002

Effective Date

10/28/2003

Expiration Date

10/31/2005

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

12/22/2005