TRACY R BLAKE Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164004441

License Status

ACTIVE

Business

First Name

TRACY

Middle

Last Name

BLAKE

Business Name

TRACY R BLAKE

Original Issue Date

01/26/2006

Effective Date

08/04/2025

Expiration Date

10/31/2027

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

08/04/2025