JENNIFER NEILSON BACK Dietitian and Nutritionist License verification

Business Entity

ACTIVE

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164022760

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

NEILSON

Last Name

BACK

Business Name

JENNIFER NEILSON BACK

Original Issue Date

08/22/2025

Effective Date

08/22/2025

Expiration Date

10/31/2027

City

WATERFORD

State

Zip

06385

Ever Disciplined

LastModifiedDate

08/22/2025