SAMANTHA ANNITZA LAZAR Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164011984

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

ANNITZA

Last Name

LAZAR

Business Name

SAMANTHA ANNITZA LAZAR

Original Issue Date

05/01/2025

Effective Date

08/14/2025

Expiration Date

10/31/2027

City

BUCKEYE

State

Zip

85396

Ever Disciplined

LastModifiedDate

08/14/2025