HOLLY MARLA FORMAN
Licensed Dietitian Nutritionist
Illinois 164002930 Not Renewed
This Illinois license was held by HOLLY MARLA FORMAN. The license is no longer active. It was granted on 12/19/1997 and expired on 10/31/2001
LICENSE DETAILS
- License Number: 164002930
- Category: LICENSED DIETITIAN NUTRITIONIST
- Status: Not Renewed
- Date Granted: 12/19/1997 (over 26 years ago)
- Expiry Date: 10/31/2001 (over 22 years ago)
LOCATIONS
A Address
NORTHBROOK, IL 60062