KATIE NICOLE TAYLOR Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164004109

License Status

ACTIVE

Business

First Name

KATIE

Middle

NICOLE

Last Name

TAYLOR

Business Name

KATIE NICOLE TAYLOR

Original Issue Date

03/10/2004

Effective Date

08/05/2025

Expiration Date

10/31/2027

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

08/05/2025