MAE MARIE LEPAK - Dietitian and Nutritionist License in Illinois | # 164005194

MAE MARIE LEPAK

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164005194

License Status

NOT RENEWED

Business

N

First Name

MAE

Middle

MARIE

Last Name

LEPAK

Business Name

MAE MARIE LEPAK

Original Issue Date

12/01/2009

Effective Date

09/07/2011

Expiration Date

10/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

12/10/2013