MARCIA RENE MATTERN Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164003040

License Status

NOT RENEWED

Business

First Name

MARCIA

Middle

RENE

Last Name

MATTERN

Business Name

MARCIA RENE MATTERN

Original Issue Date

08/13/1998

Effective Date

10/22/2003

Expiration Date

10/31/2005

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

12/22/2005