SUSIE Y PARK Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164010654

License Status

NOT RENEWED

Business

First Name

SUSIE

Middle

Last Name

PARK

Business Name

SUSIE Y PARK

Original Issue Date

07/12/2024

Effective Date

07/12/2024

Expiration Date

10/31/2025

City

SAN DIEGO

State

Zip

92126

Ever Disciplined

LastModifiedDate

02/04/2026