JUSTIN WALLER Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164009859

License Status

ACTIVE

Business

First Name

JUSTIN

Last Name

WALLER

Business Name

JUSTIN WALLER

Original Issue Date

01/29/2024

Effective Date

10/13/2025

Expiration Date

10/31/2027

City

NIPOMO

State

Zip

93444

Ever Disciplined

LastModifiedDate

01/20/2026