LARRY M JACKSON Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED NUTRITION COUNSELOR

License Number

165000163

License Status

NOT RENEWED

Business

First Name

LARRY M

Last Name

JACKSON

Business Name

LARRY M JACKSON

Original Issue Date

03/12/1996

Effective Date

12/10/2003

Expiration Date

10/31/2003

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

07/29/2005