License holder summary

CAROLYN GILLIS FAGAN is a Dietitian-Nutritionist (Licensed Dietitian/Nutritionist) licensed to practice in Pennsylvania. The address on file for CAROLYN GILLIS FAGAN is West Chester PA 19382-5761. This licensed professional license is not current. The license was granted 03/17/2003 and expired on 09/30/2010.

Pennsylvania

Department of State

CAROLYN GILLIS FAGAN
Dietitian-Nutritionist (Licensed Dietitian/Nutritionist)
License number
DN000642
Date granted
03/17/2003
Date expires
09/30/2010
Class
Dietitian-Nutritionist (Licensed Dietitian/Nutritionist)
Status
Expired
Address
West Chester PA 19382-5761
palicensing.org
ID 16675692
LAST UPDATED 2024-04-10 16:19:51 UTC

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