BLAIRE J MALIWAT Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164008333

License Status

ACTIVE

Business

First Name

BLAIRE

Middle

Last Name

MALIWAT

Business Name

BLAIRE J MALIWAT

Original Issue Date

03/23/2021

Effective Date

10/28/2025

Expiration Date

10/31/2027

City

THORNTON

State

Zip

80602

County

COLORADO

Ever Disciplined

LastModifiedDate

10/28/2025