MARCELLA MARIE MODUGNO 12 Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164022534

License Status

ACTIVE

Business

First Name

MARCELLA

Middle

MARIE

Last Name

MODUGNO

Suffix

Business Name

MARCELLA MARIE MODUGNO 12

Original Issue Date

07/22/2025

Effective Date

11/01/2025

Expiration Date

10/31/2027

City

SEYMOUR

State

Zip

06483

Ever Disciplined

LastModifiedDate

11/04/2025