LEILA ALEXANDRA IRVAN Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164010275

License Status

ACTIVE

Business

First Name

LEILA

Middle

ALEXANDRA

Last Name

IRVAN

Business Name

LEILA ALEXANDRA IRVAN

Original Issue Date

05/08/2024

Effective Date

10/22/2025

Expiration Date

10/31/2027

City

MONTICELLO

State

Zip

71655

Ever Disciplined

LastModifiedDate

10/22/2025