ANDREA J WAGNER - Dietitian and Nutritionist License in Wisconsin | # 164011450

ANDREA J WAGNER

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164011450

License Status

ACTIVE

Business

N

First Name

ANDREA

Middle

J

Last Name

WAGNER

Business Name

ANDREA J WAGNER

Original Issue Date

11/30/2024

Effective Date

10/23/2025

Expiration Date

10/31/2027

State

WI

Ever Disciplined

N

LastModifiedDate

10/23/2025