KATHLEEN J MATTISON Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164000454

License Status

NOT RENEWED

Business

First Name

KATHLEEN J

Last Name

MATTISON

Business Name

KATHLEEN J MATTISON

Original Issue Date

10/07/1995

Effective Date

02/22/2022

Expiration Date

10/31/2023

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/08/2025