SAMANTHA K BLANTON Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164011613

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

BLANTON

Business Name

SAMANTHA K BLANTON

Original Issue Date

01/02/2025

Effective Date

09/29/2025

Expiration Date

10/31/2027

City

TEMPE

State

Zip

85282

Ever Disciplined

LastModifiedDate

09/29/2025