BONNIE LYNN BROCK Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164006979

License Status

NOT RENEWED

Business

First Name

BONNIE

Middle

LYNN

Last Name

BROCK

Business Name

BONNIE LYNN BROCK

Original Issue Date

11/01/2016

Effective Date

12/15/2023

Expiration Date

10/31/2025

City

SCOTTSDALE

State

Zip

85254

Ever Disciplined

LastModifiedDate

02/04/2026