THEODORE HERBERT RAPACZ Dietitian and Nutritionist License verification

Business Entity

CANCELLED

License Type

Dietitian and Nutritionist

Description

LICENSED NUTRITION COUNSELOR

License Number

165000220

License Status

CANCELLED

Business

First Name

THEODORE

Middle

HERBERT

Last Name

RAPACZ

Business Name

THEODORE HERBERT RAPACZ

Original Issue Date

07/10/1996

Effective Date

12/10/2003

Expiration Date

10/31/2003

City

LAGRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

07/29/2005