MAE MARIE LEPAK Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164005194

License Status

NOT RENEWED

Business

First Name

MAE

Middle

MARIE

Last Name

LEPAK

Business Name

MAE MARIE LEPAK

Original Issue Date

12/01/2009

Effective Date

09/07/2011

Expiration Date

10/31/2013

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

12/10/2013