MARY L EWALT - Dietitian and Nutritionist License in Illinois | # 164000234

MARY L EWALT

Business Entity

INACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164000234

License Status

INACTIVE

Business

N

First Name

MARY L

Last Name

EWALT

Business Name

MARY L EWALT

Original Issue Date

08/30/1995

Effective Date

09/17/2003

Expiration Date

10/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

09/09/2005