DOUGLAS A LACY Dietitian and Nutritionist License verification

Business Entity

CANCELLED

License Type

Dietitian and Nutritionist

Description

LICENSED NUTRITION COUNSELOR

License Number

165000161

License Status

CANCELLED

Business

First Name

DOUGLAS

Middle

Last Name

LACY

Business Name

DOUGLAS A LACY

Original Issue Date

03/12/1996

Effective Date

02/20/2004

Expiration Date

10/31/2003

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

07/29/2005