MADISON RAY BANAHAN Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164009257

License Status

ACTIVE

Business

First Name

MADISON

Middle

RAY

Last Name

BANAHAN

Business Name

MADISON RAY BANAHAN

Original Issue Date

08/21/2023

Effective Date

08/04/2025

Expiration Date

10/31/2027

City

SCHAUMBURG

State

Zip

60173

County

COOK

Ever Disciplined

LastModifiedDate

08/17/2025