KELLY C COUSINS Dietitian and Nutritionist License verification

Business Entity

INACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164005472

License Status

INACTIVE

Business

First Name

KELLY

Middle

Last Name

COUSINS

Business Name

KELLY C COUSINS

Original Issue Date

05/26/2011

Effective Date

08/31/2017

Expiration Date

10/31/2019

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

08/03/2019