SHADERA R AZZAM Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164011589

License Status

NOT RENEWED

Business

First Name

SHADERA

Middle

Last Name

AZZAM

Business Name

SHADERA R AZZAM

Original Issue Date

12/27/2024

Effective Date

12/27/2024

Expiration Date

10/31/2025

City

LOS ANGELES

State

Zip

90048

Ever Disciplined

LastModifiedDate

02/04/2026