JENNIFER DOUGLAS BIRGE Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164010069

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

DOUGLAS

Last Name

BIRGE

Business Name

JENNIFER DOUGLAS BIRGE

Original Issue Date

04/04/2024

Effective Date

09/22/2025

Expiration Date

10/31/2027

City

BUENA VISTA

State

Zip

81211

Ever Disciplined

LastModifiedDate

09/22/2025