JENNIFER DAWN PHILABAUM Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164003442

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

DAWN

Last Name

PHILABAUM

Business Name

JENNIFER DAWN PHILABAUM

Original Issue Date

08/24/2000

Effective Date

11/01/2005

Expiration Date

10/31/2007

City

HILLSBORO

State

Zip

97124

County

WILL

Ever Disciplined

LastModifiedDate

12/05/2007