LAURA ANN JACOB Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164004493

License Status

ACTIVE

Business

First Name

LAURA

Middle

ANN

Last Name

JACOB

Business Name

LAURA ANN JACOB

Original Issue Date

03/29/2006

Effective Date

10/17/2025

Expiration Date

10/31/2027

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2025