DEVRA K SHIBA Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164002042

License Status

ACTIVE

Business

First Name

DEVRA K

Last Name

SHIBA

Business Name

DEVRA K SHIBA

Original Issue Date

01/18/1996

Effective Date

11/26/2025

Expiration Date

10/31/2027

City

PHOENIX

State

Zip

85022

Ever Disciplined

LastModifiedDate

11/26/2025