MARY L EWALT Dietitian and Nutritionist License verification

Business Entity

INACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164000234

License Status

INACTIVE

Business

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

City

MONMOUTH

State

Zip

61401

County

WARREN

Ever Disciplined

LastModifiedDate

09/09/2005