ALEYAMMA MATHEW Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164002600

License Status

NOT RENEWED

Business

First Name

ALEYAMMA

Last Name

MATHEW

Business Name

ALEYAMMA MATHEW

Original Issue Date

05/02/1996

Effective Date

09/07/2017

Expiration Date

10/31/2019

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

01/23/2020