GREGORY T TABAKA Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164006555

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

Last Name

TABAKA

Business Name

GREGORY T TABAKA

Original Issue Date

08/05/2015

Effective Date

08/27/2019

Expiration Date

02/28/2022

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022