THEODIS INGRAM JR Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164004677

License Status

NOT RENEWED

Business

First Name

THEODIS

Last Name

INGRAM

Suffix

Business Name

THEODIS INGRAM JR

Original Issue Date

03/21/2007

Effective Date

01/20/2022

Expiration Date

10/31/2023

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2025