SALLY BETH BLAKE Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED NUTRITION COUNSELOR

License Number

165000121

License Status

NOT RENEWED

Business

First Name

SALLY BETH

Last Name

BLAKE

Business Name

SALLY BETH BLAKE

Original Issue Date

02/05/1996

Expiration Date

10/31/1999

City

BELVIDERE

State

Zip

61008

Ever Disciplined

LastModifiedDate

07/29/2005