License holder summary

STACEY CAROL MATAVULI is a Dietitian licensed to practice in Indiana. The address on file for STACEY CAROL MATAVULI is Bloomington IN 47404. This licensed professional license is current. The license was granted 10/07/1996 and expired on 12/31/2016.

Indiana

Professional Licensing Agency

STACEY CAROL MATAVULI
Dietitian
License number
37001049A
Date granted
10/07/1996
Date expires
12/31/2016
Class
Dietitian
Status
Active
Address
Bloomington IN 47404
indianalicensing.org
ID 5345625
LAST UPDATED 2024-02-06 08:43:08 UTC

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