MYKELA LAYNE DECKINGA Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164007738

License Status

NOT RENEWED

Business

First Name

MYKELA

Middle

LAYNE

Last Name

DECKINGA

Business Name

MYKELA LAYNE DECKINGA

Original Issue Date

05/14/2019

Effective Date

05/14/2019

Expiration Date

10/31/2019

City

HOMER GLEN

State

Zip

60491

County

WILL

Ever Disciplined

LastModifiedDate

01/23/2020