DONNA H MATHIS Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164004152

License Status

NOT RENEWED

Business

First Name

DONNA

Middle

Last Name

MATHIS

Business Name

DONNA H MATHIS

Original Issue Date

06/29/2004

Effective Date

09/23/2019

Expiration Date

02/28/2022

City

GRANTSBURG

State

Zip

62943

County

JOHNSON

Ever Disciplined

LastModifiedDate

07/27/2022