BONNIE LYNN BROCK - Dietitian and Nutritionist License in Arizona | # 164006979

BONNIE LYNN BROCK

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164006979

License Status

NOT RENEWED

Business

N

First Name

BONNIE

Middle

LYNN

Last Name

BROCK

Business Name

BONNIE LYNN BROCK

Original Issue Date

11/01/2016

Effective Date

12/15/2023

Expiration Date

10/31/2025

State

AZ

Ever Disciplined

N

LastModifiedDate

02/04/2026