JULIE ANN BLACK Dietitian and Nutritionist License verification

Business Entity

INACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164004144

License Status

INACTIVE

Business

First Name

JULIE

Middle

ANN

Last Name

BLACK

Business Name

JULIE ANN BLACK

Original Issue Date

06/26/2004

Effective Date

08/07/2013

Expiration Date

10/31/2015

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Ever Disciplined

LastModifiedDate

08/05/2015