GLEN THOMAS MATEJKA Dietitian and Nutritionist License verification

Business Entity

CANCELLED

License Type

Dietitian and Nutritionist

Description

LICENSED NUTRITION COUNSELOR

License Number

165000165

License Status

CANCELLED

Business

First Name

GLEN

Middle

THOMAS

Last Name

MATEJKA

Suffix

Business Name

GLEN THOMAS MATEJKA

Original Issue Date

03/14/1996

Effective Date

11/07/2003

Expiration Date

10/31/2003

City

JOHNSBURG

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

07/29/2005