ALFREDA V SULISTIOWATI Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164012248

License Status

ACTIVE

Business

First Name

ALFREDA

Middle

Last Name

SULISTIOWATI

Business Name

ALFREDA V SULISTIOWATI

Original Issue Date

05/28/2025

Effective Date

01/07/2026

Expiration Date

10/31/2027

City

BREA

State

Zip

92821

Ever Disciplined

LastModifiedDate

01/07/2026