JEFFREY MARTIN PACZAK Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164004640

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

MARTIN

Last Name

PACZAK

Business Name

JEFFREY MARTIN PACZAK

Original Issue Date

01/17/2007

Effective Date

01/17/2007

Expiration Date

10/31/2007

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/05/2007