JAE THOMAS MUKOYAMA Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164005754

License Status

ACTIVE

Business

First Name

JAE

Middle

THOMAS

Last Name

MUKOYAMA

Business Name

JAE THOMAS MUKOYAMA

Original Issue Date

08/15/2012

Effective Date

10/27/2025

Expiration Date

10/31/2027

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

10/27/2025