DONNA JEAN ERICKSON Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164004285

License Status

NOT RENEWED

Business

First Name

DONNA

Middle

JEAN

Last Name

ERICKSON

Business Name

DONNA JEAN ERICKSON

Original Issue Date

02/24/2005

Effective Date

10/10/2019

Expiration Date

02/28/2022

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/27/2022