BARISSA ANN LARSON - Dietitian and Nutritionist License in Indiana | # 164009910

BARISSA ANN LARSON

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164009910

License Status

NOT RENEWED

Business

N

First Name

BARISSA

Middle

ANN

Last Name

LARSON

Business Name

BARISSA ANN LARSON

Original Issue Date

03/04/2024

Effective Date

03/04/2024

Expiration Date

10/31/2025

State

IN

Ever Disciplined

N

LastModifiedDate

02/04/2026