KATHERIN A KLOKKENGA Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164004222

License Status

NOT RENEWED

Business

First Name

KATHERIN

Middle

Last Name

KLOKKENGA

Business Name

KATHERIN A KLOKKENGA

Original Issue Date

10/28/2004

Effective Date

11/01/2005

Expiration Date

10/31/2007

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/05/2007