GLEN THOMAS MATEJKA - Dietitian and Nutritionist License in Illinois | # 165000165

GLEN THOMAS MATEJKA

Business Entity

CANCELLED

License Type

Dietitian and Nutritionist

Description

LICENSED NUTRITION COUNSELOR

License Number

165000165

License Status

CANCELLED

Business

N

First Name

GLEN

Middle

THOMAS

Last Name

MATEJKA

Suffix

DC

Business Name

GLEN THOMAS MATEJKA

Original Issue Date

03/14/1996

Effective Date

11/07/2003

Expiration Date

10/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

07/29/2005