KEO PHOUVIEN SANAVONGSAY Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164004200

License Status

NOT RENEWED

Business

First Name

KEO

Middle

PHOUVIEN

Last Name

SANAVONGSAY

Business Name

KEO PHOUVIEN SANAVONGSAY

Original Issue Date

09/30/2004

Effective Date

09/30/2004

Expiration Date

10/31/2005

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

12/22/2005