STEVEN JAC TODD JACKSON Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164004841

License Status

ACTIVE

Business

First Name

STEVEN JAC

Middle

TODD

Last Name

JACKSON

Business Name

STEVEN JAC TODD JACKSON

Original Issue Date

02/04/2008

Effective Date

10/22/2025

Expiration Date

10/31/2027

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/22/2025