CAROLYN S BANNER Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164004075

License Status

NOT RENEWED

Business

First Name

CAROLYN

Middle

Last Name

BANNER

Business Name

CAROLYN S BANNER

Original Issue Date

02/11/2004

Effective Date

10/23/2017

Expiration Date

10/31/2019

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

01/23/2020