NICOLE LYNN PETRACCA Dietitian and Nutritionist License verification

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164007584

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

LYNN

Last Name

PETRACCA

Business Name

NICOLE LYNN PETRACCA

Original Issue Date

12/13/2018

Effective Date

08/05/2023

Expiration Date

10/31/2025

City

ELLINGTON

State

Zip

06029

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

02/04/2026