ASHLEY EARNESTINE-MARIE FORTENBERRY Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164010564

License Status

ACTIVE

Business

First Name

ASHLEY

Middle

EARNESTINE-MARIE

Last Name

FORTENBERRY

Business Name

ASHLEY EARNESTINE-MARIE FORTENBERRY

Original Issue Date

07/10/2024

Effective Date

09/08/2025

Expiration Date

10/31/2027

City

EL CERRITO

State

Zip

94530

Ever Disciplined

LastModifiedDate

09/08/2025