MARCIA MARIE BLACK Dietitian and Nutritionist License verification

Business Entity

INACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED NUTRITION COUNSELOR

License Number

165000270

License Status

INACTIVE

Business

First Name

MARCIA MARIE

Last Name

BLACK

Business Name

MARCIA MARIE BLACK

Original Issue Date

01/15/1999

Effective Date

11/07/2001

Expiration Date

10/31/2001

City

ROSELLE

State

Zip

60172

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/11/2005