KATHLEEN MARIE FUKUMOTO Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164023114

License Status

ACTIVE

Business

First Name

KATHLEEN

Middle

MARIE

Last Name

FUKUMOTO

Business Name

KATHLEEN MARIE FUKUMOTO

Original Issue Date

11/03/2025

Effective Date

11/03/2025

Expiration Date

10/31/2027

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

11/04/2025