JARID KEITH LONG Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164006906

License Status

NOT RENEWED

Business

First Name

JARID

Middle

KEITH

Last Name

LONG

Business Name

JARID KEITH LONG

Original Issue Date

08/17/2016

Effective Date

08/17/2016

Expiration Date

10/31/2017

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/04/2018