SAMANTHA TAYLOR GOLLUP - Dietitian and Nutritionist License in Wisconsin | # 164008028

SAMANTHA TAYLOR GOLLUP

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164008028

License Status

NOT RENEWED

Business

N

First Name

SAMANTHA

Middle

TAYLOR

Last Name

GOLLUP

Business Name

SAMANTHA TAYLOR GOLLUP

Original Issue Date

06/04/2020

Effective Date

02/05/2022

Expiration Date

10/31/2023

State

WI

Ever Disciplined

N

LastModifiedDate

01/08/2025