JACK ORIN TAYLOR Dietitian and Nutritionist License verification

Business Entity

CANCELLED

License Type

Dietitian and Nutritionist

Description

LICENSED NUTRITION COUNSELOR

License Number

165000145

License Status

CANCELLED

Business

First Name

JACK

Middle

ORIN

Last Name

TAYLOR

Suffix

Business Name

JACK ORIN TAYLOR

Original Issue Date

02/21/1996

Effective Date

11/07/2003

Expiration Date

10/31/2003

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/29/2005